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王××,40岁,某团场农工。于1977年12月,参办重体力劳动时,突然昏倒,不省人事。同时面色苍白,半小时以后好转,未予特殊治疗。至1978年3月又因劳累再次昏倒,血压80/50mmHg,心率120次/分,偶发早搏。诊断为冠心病住某团医院治疗无效。上述症状反复发作,并逐渐加重,出现端坐呼吸,持续性心前区灼痛及下(?)浮肿,于1981年3月26日转入我院治疗。检查:血压90/70mmHg,营养欠佳,端坐位,颈静脉怒张,两肺(一)心尖搏动弥散,抬举样,心界明显扩大,左侧第5肋间11.5厘米,心音减弱,偶发早搏,心率86次/分。心尖区可闻及Ⅱ级sm,不向别处传导,并可闻及
Wang × ×, 40 years old, a field farmer. In December 1977, participating in heavy manual labor, suddenly collapsed, unconscious. At the same time pale, improved after half an hour, no special treatment. To March 1978 again because of fatigue fainting, blood pressure 80 / 50mmHg, heart rate 120 beats / min, premature beats. Diagnosis of coronary heart disease live a hospital treatment is invalid. Repeated episodes of these symptoms, and gradually increased, appeared to sit and breathe, persistent burning of precordial area and the next (?) Edema, on March 26, 1981 into our hospital for treatment. Check: blood pressure 90 / 70mmHg, poor nutrition, sitting, jugular venous distention, both lungs (a) apex pulsation dispersion, lifting kind, the heart was expanded, the left intercostal 11.5 cm, heart sounds weakened, premature beats , Heart rate 86 beats / min. Apex area can be heard and Ⅱ level sm, no conduction elsewhere, and can be heard