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1临床资料患者男,49岁,因“反复胸闷3年,加重1周”入院。1周前突感心前区闷痛,口服“速效救心丸”效果欠佳。既往因“腹主动脉瘤”行腹主动脉支架术。吸烟史30年,平均20支/d。无高血压病、糖尿病。查体:血压110/70 mm Hg(1 mm Hg=0.133 k Pa),心率92次/min,律齐,各瓣膜听诊区未闻及杂音,双肺底闻及少量湿性啰音。生化检查:尿素
1 Clinical data Patient male, 49 years old, because of “repeated chest tightness for 3 years, increased 1 week ” admission. 1 week ago Congestion in the former area boring pain, oral “quick save heart pill ” ineffective. Past due to “abdominal aortic aneurysm” abdominal aortic stenting. Smoking history for 30 years, an average of 20 / d. No high blood pressure, diabetes. Examination: blood pressure 110/70 mm Hg (1 mm Hg = 0.133 kPa), heart rate 92 beats / min, law Qi, the valve auscultation area did not smell and noise, both at the end of the lungs and a small amount of wet rales. Biochemical tests: urea