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患者,男,62岁,因胸闷,心慌反复发作3～4年,加重半年于1987年11年3日入院。患者3年前曾因上述症状到外医院就诊,拟诊为“冠心病、下壁陈旧性心肌梗塞及室性早搏”,服用慢心律、心得安后效果不佳,改用乙胺碘呋酮口服0.2～0.4g,每日3次后上述症状减轻,使用时间持续达3年余。从1987年1～2月起,患者除胸闷、心慌加重外,还出现进行性气短,且活动后加重,并频繁干咳,而收住院诊治。既往身体健康,否认有结核及慢支病史,无烟酒嗜好。查体:T37℃、P78、R20、BP130/70,
Patients, male, 62 years old, due to chest tightness, palpitation repeated attacks for 3 to 4 years, increased in six months in 1987 on the 3rd of March admission. Patient 3 years ago because of the above symptoms to the hospital for treatment, to be diagnosed as “coronary heart disease, inferior wall of the old myocardial infarction and ventricular premature beats”, take a slow heartbeat, the experience of poor safety effect after the switch to amiodarone Oral 0.2 ~ 0.4g, 3 times a day after the above symptoms alleviate the use of time lasted more than 3 years. From January 1987 to February, the patient in addition to chest tightness, palpitation increased, there was progressive shortness of breath, and aggravate after activity, and frequent dry cough, and admitted to hospital for treatment. Past physical health, denied a history of tuberculosis and chronic bronchitis, non-smoking alcohol hobby. Physical examination: T37 ℃, P78, R20, BP130 / 70,