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男患,56岁,因发作性心前区闷痛2年,加重7天于1992年10月17日来诊,以“冠心痛,不稳定心绞痛”入院。既往有高血压病史5年.查体:BP25/13kPa,一般情况尚可,颈静脉无充盈,双肺无干湿罗音,心界左侧扩大,心律不整,闻及频发早搏,无杂音,腹平坦,肝脾未及,双下肢无浮肿.辅检,ECG 示各导 ST—T 段均有不同程度压低,T 渡低平或倒置,左心室高电压,频发室性期前收缩.入院后给予706代血浆加复方丹参液静滴,消心痛、心痛定、肠溶 ASP 等口服以降压,减轻心脏负荷,改善冠脉循环,同时予以心电监护以观察心律及早搏
Male patient, 56 years old, because of episodes of pre-eclampsia pain 2 years, increased 7 days in October 17, 1992 came to the clinic, “crown heartache, unstable angina” admission. Previous history of hypertension 5 years. Examination: BP25 / 13kPa, the general situation is acceptable, no filling of the jugular vein, lungs without dry and wet rales, left heart expansion, irregular heartbeat, smell and frequent premature beat, no noise , Flat belly, liver and spleen not yet, both lower extremities without edema.Auxiliary examination showed ECG ST-T segment were depressed to varying degrees, T level low or inverted, left ventricular high voltage, frequent ventricular contraction After admission to give 706 generations of plasma plus compound Danshen solution intravenous, anti-heartburn, nifedipine, enteric ASP and other oral antihypertensive to reduce the heart load, improve coronary circulation, and ECG monitoring to observe the heart rate and premature beats