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例1:患者女,58岁。心悸、胸闷、憋气2年。消瘦、乏力、头晕、食欲正常,院外多次做心电图示心肌缺血,心房纤颤.胸透示正常,诊断为冠心病心房纤颤,服用心痛定,泮及近,养心氏,症状加重。既往身体健康。入院时查体消瘦,皮肤湿润,双眼球轻度突出,甲状腺无肿大,无血管杂音,心率126次/分.心律不齐,心音强弱快慢不一,无杂音,心电图示心房纤颤,血T_3、T_4明显增高,确诊为甲亢性心脏病,给予他巴唑治疗,症状较快好转。
Example 1: Female patient, 58 years old. Heart palpitations, chest tightness, suffocating 2 years. Emaciation, fatigue, dizziness, normal appetite, multiple electrocardiogram outside hospital to show myocardial ischemia, atrial fibrillation. Chest normally revealed, diagnosed as coronary heart disease atrial fibrillation, taking heartache, pan and near, Yang Xin’s heart, the symptoms increase . In the past, good health. Admission examination weight loss, skin moist, mild prominent in both eyes, thyroid no swollen, no vascular murmur, heart rate 126 beats / min arrhythmia, heart sounds vary in speed, no noise, ECG atrial fibrillation, Blood T_3, T_4 was significantly higher, diagnosed with hyperthyroidism heart disease, given methimazole treatment, the symptoms improved quickly.