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患者,男性,62岁,因反复头昏痛,活动后心累18年、加重伴双下肢水肿7月入院。BP 19/14kPa,半坐位,颈静脉怒张,双下肺少许细湿罗音,心尖左锁骨中线外2cm、心率94次/分、律齐,肝肋下2cm,剑突下4cm,肝颈静脉逆流征阳性。双下肢轻度凹陷性水肿。心电图双室肥厚伴劳损,ST 段水平下移0.05mv～0.1mv 伴 T 波倒置。心动图示左室后壁节段性运动不良。诊断:高血压病Ⅲ期、高心病合并冠心病、全心衰。给消心痛、双氢克尿塞、山海
Patient, male, 62 years old, due to repeated dizziness and pain, heart activity after 18 years, aggravated with edema of lower extremities July admission. BP 19 / 14kPa, half sitting, jugular vein engorgement, a little fine wet rales double lower lung, apical left clavicle 2cm outside the center, heart rate 94 beats / min, law Qi, liver ribs 2cm, xiphoid 4cm, Vein reflux sign positive. Lower limbs slightly depressed edema. ECG double room hypertrophy with strain, ST segment level down 0.05mv ~ 0.1mv with T wave inversion. Cardiogram Left ventricular posterior wall segmental dyskinesia. Diagnosis: Hypertension Ⅲ, high heart disease with coronary heart disease, heart failure. To eliminate heartache, hydrochlorothiazide, mountain and sea