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患者女,83岁。因活动后心慌、气促、头晕1年,行动困难2周于2010年3月9日就诊。既往史:吸烟50年(每日5~6支),高血压病40余年,长期服用普通硝苯地平及肠溶阿司匹林片。患者1年前渐出现活动后(步行约2km时出现症状)心慌、气促及头晕等症状,无发热、咳嗽等症状,需要短暂休息,方可继续行走。半年前每日晨起出现心慌、气促、头晕,活动后症状加重,若及时进早餐后症状可部分减轻。患者会无原因数周出现1次腹泻,食欲不振,还常有胃
Female patient, 83 years old. After the activity due to palpitation, shortness of breath, dizziness 1 year, difficult to move 2 weeks on March 9, 2010 treatment. Past history: smoking 50 years (5 to 6 daily), hypertension more than 40 years, long-term use of ordinary nifedipine and enteric-coated aspirin tablets. Patients gradually appear activities (about 2km walk symptoms appear) palpitation, shortness of breath and dizziness and other symptoms, no fever, cough and other symptoms, the need for a brief rest, to continue walking. Six months ago, morning after onset of palpitation, shortness of breath, dizziness, aggravating symptoms after activities, if the symptoms can be partially relieved after breakfast. Patients for no reason a few weeks there is a diarrhea, loss of appetite, but also often stomach