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本文报道一例变异型心绞痛患者的(201)~铊心肌显影的结果。病史:男性,34岁,1975年2月起反复发作心绞痛,每次发作是在用力后3～4分钟,不是在用力期间,休息时和夜间无发作。心绞痛发作时,常先有数秒钟的濒死感,并伴有大汗淋漓、恶心、呕吐和乏力,发作持续10～15分钟后自行缓解;含用硝酸甘油0.4毫克可立即使发作中止。以往有大量吸烟史。体检:脉搏、心率、血压、颈静脉压和心脏无异常发现。心绞痛发作时,患者皮肤湿冷,血压由135/85毫米汞柱下降为110/60毫米汞柱,心率自70次/分减为40～50次/分,并可听到第四心音。其他检查如胸片、超
This article reports the results of (201) ~ thallium myocardial imaging in a patient with variant angina. History: Male, 34 years old, recurrent angina since February 1975. Each episode was 3 to 4 minutes after exertion, not during exertion, rest, and night. Angina pectoris, often have a few seconds of sense of nearness, accompanied by sweating, nausea, vomiting and fatigue, episodes of 10 to 15 minutes after the self-remission; containing 0.4 mg of nitroglycerin can immediately stop the episode. In the past a large number of smoking history. Physical examination: pulse, heart rate, blood pressure, jugular venous pressure and heart no abnormal findings. When angina pectoris occurs, the skin of the patient is cold and wet, blood pressure is reduced from 135/85 mm Hg to 110/60 mm Hg, heart rate is reduced from 70 beats / minute to 40 to 50 beats / minute, and the fourth heart sound is heard. Other tests such as chest radiography, ultra