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[例1]张××,男,75岁,社员。因心前区发作性剧烈疼痛伴气憋1月余,近2周病情加重后急诊入冠心病监护病房。近2周心前区疼痛频繁,每1~2天疼痛1次,伴出汗、气憋、向双肩放散。入院检查:体温36.5℃,脉搏60次/分,呼吸20次/分,血压110/70毫米汞柱。一般情况尚好;颈静脉无怒张,胸廓对称,两肺无异常发现,心浊音界不大、心音纯、心律齐、无杂音;腹软,无压痛,肝肋下3厘米、中等硬度、无触痛,脾未触及,无移动性浊音;下肢无水肿。胆固醇244毫克%,甘油三酯正常。住院经过:住院后每天心前区憋痛发作2~3次,伴出汗,每次持续3~30分钟不等。疼痛常发生于夜间。心绞痛
[Example 1] Zhang × ×, male, 75 years old, members. Due to precordial severe acute pain with gas hold back more than 1 month, nearly 2 weeks after the exacerbations into the coronary care unit. Nearly 2 weeks precordial pain, pain every 1 to 2 days 1, with sweating, gas hold back to the shoulders to disperse. Admission examination: body temperature 36.5 ℃, pulse 60 beats / min, breathing 20 beats / min, blood pressure 110/70 mm Hg. The general situation is good; no jugular vein engorgement, thoracic symmetry, no abnormalities in both lungs found, heart dullness sector is not pure, heart sound Qi, no noise; abdominal soft, no tenderness, liver ribs 3 cm, moderate hardness, Tenderness, spleen not touched, no mobility dullness; lower extremity no edema. Cholesterol 244 mg%, triglycerides normal. After hospitalization: pericardial heart attack in patients with episodes of 2 to 3 times a day, with sweating, each lasting 3 to 30 minutes. Pain often occurs at night. Angina