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患者男,69岁。主因“发作性上腹部疼痛1个月”就诊于我院,诊断为“胆石症、急性胆管炎”拟行外科手术治疗。患者7年前因“扩张型心肌病,心功能Ⅲ级”于外院行心脏再同步化治疗(cardiac resynchronization therapy,CRT),2年前行CRT更换术。体格检查:血压110/70mm Hg,颈静脉无怒张,双肺呼吸音清,心界向左下扩大,心率60次/
Male patient, 69 years old. The main reason for “onset of upper abdominal pain for 1 month ” treatment in our hospital, diagnosed as “cholelithiasis, acute cholangitis” to be planned surgical treatment. Seven years ago, patients underwent cardiac replacement CRT (cardiac resynchronization therapy, CRT) 2 years ago for “dilated cardiomyopathy, grade III cardiac function.” Physical examination: blood pressure 110 / 70mm Hg, jugular vein without tension, lung breath sounds clear, the heart bound to expand to the left, heart rate 60 times /