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患者男,55岁。因牙痛2天,加重伴心慌胸闷1天来诊。患者自2天前开始感牙痛,无胸痛,在家自服复方新诺明、甲硝唑、去痛片治疗,症状无缓解,近1天来牙痛加重且伴心慌胸闷,又加服强的松,仍无好转而来诊,既往曾有牙痛病史,服药后缓解。 查体:体温37.3℃,脉搏92次/分,呼吸22次/分,血压11.5/8kPa。神志清,痛苦貌,口唇紫绀,牙齿未见异常。双肺呼吸音清,于双肺底可闻及湿罗音。心音低钝,律齐,心率92次/分。腹部及四肢均无异常。
Male patient, 55 years old. Due to toothache 2 days, increased with palpitation chest tightness 1 day visit. Patients began to have toothache 2 days ago, no chest pain, self-service compound cotinine, metronidazole, to painkiller treatment, the symptoms did not ease, nearly 1 day toothache aggravated with palpitation chest tightness, plus serving prednisone , Still no improvement to the clinic, had a history of toothache in the past, relieve medication. Physical examination: body temperature 37.3 ℃, pulse 92 beats / min, breathing 22 beats / min, blood pressure 11.5 / 8kPa. Conscious, painful appearance, cyanotic lips, no abnormal teeth. Respiratory sound clear lungs, in the lungs can be heard and wet rales. Low heart sound blunt, Law Qi, heart rate 92 beats / min. Abdomen and limbs were normal.