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患者男性,65岁,农民;主因发作性左颈前部疼痛3月余入院。患者三个月前无诱因出现发作性左颈前部疼痛,发作约持续5～10分钟,偶伴胸闷,可自行缓解。含消心痛片效果不明显,平卧位及右侧卧位常诱发疼痛发作。曾于多家医院诊为“冠心病”心绽痛而服用消心痛等药物治疗无效。查体:体温、脉搏、呼吸血压均正常;颈部两侧对称,活动自如,局部无红肿、无触压痛,淋巴结及甲状腺无肿大,颈动脉无杂音;左肺部听诊呼吸音略低,心脏检查无异常。实验室检查:血红蛋白142g/L,白细胞5.0×10~9/L,中
The patient was male, 65 years old, and the farmer was suffering from paroxysmal left anterior cervical neck pain for more than 3 months. The patient had no paroxysmal paroxysmal left anterior neck pain three months ago. The episode lasted about 5 to 10 minutes and was even associated with chest distress. There is no obvious effect of Xiaoxintong tablets, and supine and right lateral decubitus often induce pain. He had been treated in many hospitals for “coronary heart disease” and he had taken drugs such as discomfort. Physical examination: body temperature, pulse, and respiratory blood pressure were normal; the bilateral symmetry of the neck, freedom of movement, no local swelling, no touch tenderness, lymph nodes and thyroid enlargement, carotid no noise; left lung auscultation breath sounds slightly lower, No abnormal heart examination. Laboratory examination: hemoglobin 142g/L, white blood cells 5.0×10~9/L, medium