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1病例资料患者,女,70岁,高血压史10余年,有血脂异常史,既往无其他药物及食物过敏史。2013年6月因“反复心悸、胸闷8年,再发半年”入院。体检:血压160/96mmHg(1 mmHg=0.133kPa),双肺呼吸音清,无啰音,心界无扩大,心率52次/min,律齐,胸骨左缘第4肋间可闻及2/6级收缩期杂音。入院后查心脏彩超:主动脉瓣轻度狭窄并轻度反流,二尖瓣轻中度反流,左室肥厚。胸片示:符合高血
1 case data patients, female, 70 years old, history of hypertension more than 10 years, history of dyslipidemia, past no other drugs and food allergy history. June 2013 due to “repeated palpitations, chest tightness for 8 years, recurrence six months ” admission. Physical examination: blood pressure 160/96 mmHg (1 mmHg = 0.133 kPa), lung breath sounds clear, no arousal, no expansion of the heart, heart rate 52 beats / min, law Qi, sternal left intercostal 4 heard and 2 / 6 systolic murmur. Check the hospital after admission color Doppler ultrasound: mild aortic stenosis and mild reflux, mild to moderate mitral regurgitation, left ventricular hypertrophy. Chest X-ray shows: in line with high blood