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患者男,41岁,因反复发作阵发性心跳、心悸、胸闷2年,加重4天,于1987年7月1日入院。休检:T37.4℃,P190次/分,R20次/分,Bp12.0/8.0kPa。呈急性病容,神志清楚,端坐呼吸,口唇轻度发绀,颈静脉怒张。双肺呼吸音清晰。心界不大,心律齐,心前区可闻及收缩期杂音Ⅲ级。肝肋缘下3cm,质中有触痛感,脾脏不大。双下肢无水肿。实验室检查:ECG示:室上性心动过速伴
Male, 41 years old, due to recurrent paroxysmal heartbeat, palpitations, chest tightness for 2 years, increased 4 days, on July 1, 1987 admitted. Hugh seized: T37.4 ℃, P190 times / min, R20 times / min, Bp12.0 / 8.0kPa. Acute illness, conscious, sitting and breathing, lips mild cyanosis, jugular vein engorgement. Breath sounds clear lungs. Heart is not big, heart rate Qi, precordial area can be heard and systolic murmur Ⅲ level. Under the edge of the liver ribs 3cm, the quality of tenderness, spleen is not large. No lower extremity edema. Laboratory tests: ECG showed: supraventricular tachycardia