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病例:男性,59岁。因活动后心前区疼痛10年,加重1个月,于1990年10月24日入院。10年来活动劳累后出现胸闷,心前区疼痛,初期持续数秒钟,随后持续10～30分钟.休息后自行缓解,每次发作时伴有出汗、面色苍白、恶心呕吐、心慌气短,近1个月来,心前区疼痛频繁,持续时间延长,口含硝酸甘油片无明显效果。查体T:37~0;P:86次/分;R:16次/分;BP:19/11kpa,神志清,头颈部未见异常,两肺清,心脏浊音界不大,心率86次/分,律不齐,心尖部第一心音低钝,并闻及收缩期吹风样Ⅱ级杂音。实验室检查血尿便常规正常;尿糖6100mg/24h;血清甘油
Case: Male, 59 years old. Due to the activities of precordial pain for 10 years, an increase of 1 month, on October 24, 1990 admission. After 10 years of activity tired chest tightness, precordial pain, the initial lasted for a few seconds, then continued for 10 to 30 minutes after the rest relieve themselves, each episode accompanied by sweating, pale, nausea and vomiting, palpitation shortness of breath, nearly 1 Months, precordial pain, prolonged duration, no significant effect of oral nitroglycerin tablets. Physical examination T: 37 ~ 0; P: 86 beats / min; R: 16 beats / min; BP: 19 / 11kpa; Times / points, irregular laws, apex of the first heart sound low blunt, and smell and systolic hair-like Ⅱ level murmur. Laboratory tests hematuria will be normal; urine sugar 6100mg / 24h; serum glycerol