论文部分内容阅读
临床资料:患者男性(住院号149538),65岁。心跳缓慢伴阵发性心悸气促反复发作8年,近一周上述症状加重又伴心前区闷痛而入院。体格检查:神志清,肥胖体质,口唇轻度紫绀,尚可平卧。血压140/96mmHg。心率45次/分,心尖Ⅱ级收缩期吹风样杂音,不传导。A_2>P_2,律不齐。双肺底少许干鸣。腹部平软,肝脾未触及。双下肢轻度浮肿。X 线胸部透视:左心缘向左、向下延长,主动脉弓突出。血胆固醇249毫克%,β脂蛋白740毫克%。眼底检查:A 变细,反光增强,A·V 交叉压迫。临床诊断高血压病;冠心病。
Clinical data: Patient Male (hospital number 149538), 65 years old. Slow heart rate accompanied by paroxysmal palpitations repeated episodes of appendectomy 8 years, the past week, the above symptoms aggravated with premorbid boring pain and admission. Physical examination: conscious, obese physique, lips mild cyanosis, still supine. Blood pressure 140 / 96mmHg. Heart rate 45 beats / min, apical Ⅱ systolic hair-like noise, not conduction. A_2> P_2, irregularity. Dry lungs at the end of a few lungs. Abdomen soft, liver and spleen not touched. Lower extremity mild edema. X-ray chest: Left heart edge to the left, extending down, the aortic arch prominent. Blood cholesterol 249 mg%, beta lipoprotein 740 mg%. Fundus examination: A thinning, enhanced reflex, A · V cross oppression. Clinical diagnosis of hypertension; coronary heart disease.