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病历摘要患者男,53岁,工人。因反复晕厥1年,加重20天于1992年8月14日入院。1年前无明显诱因突发意识丧失,昏倒约半分钟,无抽搐及大小便失禁。以后类似发作2次,因时间短、恢复快,故未进行任何诊治。近20天无明显诱因频繁发作晕厥,有时每日达2～3次,已发作8次,以致不能工作,完全卧床休息。曾在门诊检查发现心率缓慢。既往身体健康,无高血压史,否认结核、肝炎、胃病及肾脏病史。查体:体温36.5℃,脉搏52次/分,呼吸18次/分,血压13/10kPa。发育正常,神清合作。皮肤淋巴结无异常,巩膜
Patient summary Male, 53 years old, worker. Due to repeated syncope for 1 year, increased 20 days admitted to hospital on August 14, 1992. 1 year ago no obvious incentive for sudden loss of consciousness, fainting about half a minute, no convulsions and incontinence. After a similar episode 2 times, due to a short time, fast recovery, it did not conduct any diagnosis and treatment. Nearly 20 days no obvious incentive frequent seizures, and sometimes up to 2 to 3 times a day, has been seized 8 times, so can not work, complete rest in bed. In the clinic examination found that the heart rate is slow. Past physical health, no history of hypertension, denied tuberculosis, hepatitis, stomach and kidney disease history. Physical examination: body temperature 36.5 ℃, pulse 52 beats / min, breathing 18 beats / min, blood pressure 13 / 10kPa. Normal development, clear cooperation. No abnormal skin lymph nodes, sclera