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1病例报告患者男,83岁。因心前区不适1天入院。入院后查体:血压150/80mmHg,心率78/min,心肺未见明显异常,双下肢无水肿。实验室检查:血清总胆固醇6.2mmol/L,低密度脂蛋白胆固醇4.03mmol/L,肝(肾)功能及尿常规等检查未见异常。超声检查报告:双侧颈动脉及椎动脉未见明显异常,双下肢动脉多发斑块形成,下肢静脉未见明显异常;肾脏超声未见异常。头颅CT检查示腔隙性脑梗死。诊断:劳力性心绞痛,冠心病,高脂血症,腔隙性脑梗死。给予单硝酸异山梨酯缓释片40mg,1次/d;
1 case report patient male, 83 years old. Because of precordial discomfort 1 day admission. After admission, physical examination: blood pressure 150 / 80mmHg, heart rate 78 / min, no obvious abnormal heart and lung, no lower extremity edema. Laboratory tests: serum total cholesterol 6.2mmol / L, low density lipoprotein cholesterol 4.03mmol / L, liver (kidney) function and urine routine examination showed no abnormalities. Ultrasound examination report: bilateral carotid artery and vertebral artery showed no abnormalities, multiple lower extremity arterial plaques, no obvious abnormalities in the lower extremity veins; no abnormalities in renal ultrasound. Head CT scan showed lacunar infarction. Diagnosis: exertional angina, coronary heart disease, hyperlipidemia, lacunar infarction. Given isosorbide mononitrate sustained-release tablets 40mg, 1 time / d;