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患者女,64岁。因发作性胸闷、心悸5年,左前胸及左背部疼痛2天就诊。自述前胸阵发性刺痛,约半小时发作1次,时间为5～6秒钟。查体:血压20/12kPa,心界正常,心律齐,心率78次/min,A~2>P~2,无杂音。心电图提示慢性冠状动脉供血不足。住院后给予心痛定、长效硝酸甘油等扩冠药物,患者仍述疼痛,不敢向左侧卧位,夜间睡眠时多次痛醒。住院2天后做心电图时发现患
Female patient, 64 years old. Due to the onset of chest tightness, palpitations 5 years, left anterior chest and left back pain for 2 days treatment. Paroxysmal chest stabbing self-report, about half an hour attack 1, the time is 5 to 6 seconds. Physical examination: blood pressure 20 / 12kPa, normal heart, heart rate Qi, heart rate 78 beats / min, A ~ 2> P ~ 2, no noise. ECG prompted chronic coronary insufficiency. Give heartache given after hospitalization, long-acting nitroglycerin and other drugs crowning the crown, the patient still described the pain, not to the left lateral position, night sleep repeatedly wake up. Two days after hospitalization electrocardiogram found when suffering from