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患者,男,50岁,工人。主诉反复发作性心前区不适、胸闷、灼热样及针刺样疼20天,于1991年10月16日入院。查体:T36℃,P60次/分,呼吸18次/分,Bp13.3/9.skPa,发育正常,体质消瘦,精神差。头颈部无异常。心界不扩大,心率64次/分,律齐,各瓣膜听诊区无杂音,A_2=P_2。肺部少许于啰音。余未见异常。ECG示窦性心律,P波尖顶,QRS波群形态正常,ST及T波无异常,血气、血糖、血脂均正常。入院后在安
Patient, male, 50 years old, worker. The main complaint of repeated episodes of pre-cardiac discomfort, chest tightness, burning-like and acupuncture-like pain for 20 days, in October 16, 1991 admission. Physical examination: T36 ℃, P60 beats / min, breathing 18 beats / min, Bp13.3 / 9.skPa, normal development, weight loss, poor spirits. Head and neck no abnormalities. Heart does not expand, the heart rate 64 beats / min, law Qi, the valve auscultation area without noise, A_2 = P_2. A little lung in the rales. I no abnormalities. ECG showed sinus rhythm, P wave apex, QRS wave group normal morphology, ST and T wave were normal, blood gas, blood glucose, blood lipids were normal. After the hospital in the security