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患者男性,36岁,农民。因反复发作心慌、胸闷一年余于1989年10月28日入院。患者一年前被人用砖头砸伤左侧胸部而感心慌、胸闷、头昏。此后反复发作,多无明显诱因。开始为半个月至1个月发作一次,持续半天左右,休息后可自行缓解。入院前3个月发作频繁、持续时间亦延长。曾发生晕厥1次。过去史、个人史及家族史无特殊。体格检查:T37℃,P72次/分,Bp17.9/10.7kPa(134/80mmHg)。神志清楚,颈静脉不怒张,未见异常颈动脉搏动,甲状腺不大。心肺及腹部无异常发现,心率72次/分,节律齐。双下肢无浮肿。
Male patient, 36 years old, farmer. Due to recurrent palpitation, chest tightness more than a year in October 28, 1989 admission. A year ago, the patient was brushed with a broken chest on the left chest and feel panicked, chest tightness, dizziness. After repeated attacks, more no obvious incentive. Beginning for half a month to 1 month attack, sustained about half a day, after the rest can ease. 3 months before admission seizures frequent, duration also extended. Syncope occurred once. Past history, personal history and family history is no special. Physical examination: T37 ℃, P72 beats / min, Bp17.9 / 10.7kPa (134 / 80mmHg). Conscious mind, jugular vein does not anger, no abnormal carotid pulse, thyroid is not big. Cardiopulmonary and abdominal abnormalities were found, heart rate 72 beats / min, rhythm Qi. No lower extremity edema.