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病历摘要患者,男,55岁,电工。1972年起头晕血压偏高(150/90毫米汞柱)。1974年起又常有心前区发作性疼痛,每次持续1～2分钟,但能自行缓解,有时疼痛发作与劳累有关,检查发现心脏扩大。1975年初,患者有时心跳慢、“昏倒”,经诊断为Ⅲ度房室传导阻滞。同年8月13日因再次昏厥而急诊入院。体检:一般情况尚好,肥胖体型,心率48次/分,律齐,心尖区收缩期杂音Ⅰ～Ⅱ级,血压150/90毫米汞柱,腹平软,肝、脾未及,下肢不肿。心电图:Ⅲ度房室传导阻滞。X 线片:心脏横位,心胸比例65％,肺野轻度郁血。化验:血常规红细胞450万/立方毫米,血红蛋白90克％,白细胞6,900/
Patient summary, male, 55 years old, electrician. High dizziness blood pressure (150/90 mmHg) since 1972. Epileptic pain often occurs in precocious areas from 1974, each lasting 1 to 2 minutes, but can relieve itself, and sometimes the onset of pain and fatigue related to the examination revealed heart enlargement. In early 1975, the patient sometimes had a slow heartbeat, “fainting,” and was diagnosed with grade III atrioventricular block. August 13 the same year due to fainting and emergency admission. Physical examination: the general situation is good, obese body size, heart rate 48 beats / min, law Qi, apex systolic murmur Ⅰ ~ Ⅱ level, blood pressure 150/90 mm Hg, abdominal soft, liver, spleen and lower extremity is not swollen. ECG: Ⅲ degree atrioventricular block. X-ray film: heart horizontal, heart rate 65%, mild lung blood stasis. Laboratory tests: RBC 4.5 million / mm3, hemoglobin 90%, WBC 6,900 /