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患者,男,68岁,主因胸闷气短2年,心前区疼痛3天于1987年9月15日入院。患者于2年前因胸闷气短、心律失常,在当地医院住院治疗,诊为冠心病。出院后仍有胸闷气短,活动后加剧,不能胜任体力劳动,心率50次左右,但无胸痛、晕厥、抽搐及意识丧失等症状.经常服用复方丹参、救心丸等药物控制症状.3天前突然出现心前区疼痛,呈刀割状,每次发作持续1分钟左右,向左肩部及背部放散,以夜间为甚,含服硝酸甘油效果差,但无咳喘、呼吸困难、下肢浮肿等症状。经查心电图以可疑右室梗塞而收入院治疗。查体:T36.2℃,P60次,R20次,Bp110/70。发育营养良好,神志清,自动体位,急性病容。
Patients, male, 68 years old, mainly due to chest tightness and shortness of breath for 2 years, pain in the anterior region 3 days in September 15, 1987 admission. Patients 2 years ago due to chest tightness and shortness of breath, arrhythmia, hospitalization in the local hospital, diagnosed as coronary heart disease. Chest tightness and shortness of breath after discharge, exacerbation after the activity, can not do manual labor, heart rate 50 times, but no chest pain, fainting, convulsions and loss of consciousness and other symptoms.Commonly take compound Salvia, save heart pills and other drugs to control symptoms .3 days ago suddenly Appear precordial pain, was knife-like, each episode lasts about 1 minute, to the left shoulder and back to dissipate, even more at night, with sublingual nitroglycerin poor, but no cough, difficulty breathing, lower extremity edema and other symptoms . After investigation of electrocardiogram suspected right ventricular infarction and income hospital treatment. Physical examination: T36.2 ℃, P60 times, R20 times, Bp110 / 70. Development of good nutrition, conscious, automatic position, acute disease.