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病历摘要患者:男性,40岁。1955年发现患有高血压,1975年后反复发生心前区疼痛,有时向左颈部放散或伴大汗淋漓,每次持续时间数分钟至半小时不等,口含硝酸甘油可缓解。入院前胸痛发作频繁,多于清晨3、4点钟休息时出现。体检:一般状况好,心界叩诊向左扩大,心率72次/分、律齐。双肺呼吸音清晰。肝脾未扪及。实验室检查:白细胞11,400/立方毫米,血沉5毫米/1小时。谷丙转氨酶21单位,谷草转氨酶18单位,血胆固醇228毫克%,空腹血糖240毫克%。
Patient Summary: Male, 40 years old. 1955 was found to have high blood pressure, recurring after 1975, precordial pain, sometimes left to the neck or with sweat, each duration ranging from minutes to half an hour, oral nitroglycerin can be alleviated. Frequent chest pain before admission, more than 3,4 o’clock in the morning when the rest occurred. Physical examination: the general condition is good, heart percussion to the left to expand, heart rate 72 beats / min, law Qi. Breath sounds clear lungs. Liver and spleen not palpable. Laboratory tests: white blood cells 11,400 / cubic millimeter, ESR 5 mm / 1 hour. 21 units of alanine aminotransferase, 18 units of aspartate aminotransferase, 228 mg% of blood cholesterol, and 240 mg% of fasting blood glucose.