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病例男患,33岁。一年来于劳动或活动多时即感头晕、无力、出汗,伴心悸、胸闷,重时有心前区疼痛,但无放散痛。无晕厥,上述症状多于突然起立时加重。查体:血压13/8,发育正常,营养中等,肺无异常,心浊音界略小,心率11(?),律整,心音正常,各瓣膜区未闻及杂音,脾未触及。实验室检查:血尿便常规正常。肝肾功能、血糖、血脂、血沉、T(?)TⅣ均正常。尿 VMA(-)。心电图示Ⅰ导 R 波电压5mm,ⅡⅢ导联 R 波电压分别为16mm、11mm、TIavL低平,TⅡ、ⅢavF、v_4、v_5、v_6倒置,胸部 X 线示心影狭小,心胸比例0.31,心脏表
Male patient, 33 years old. Over the past year when labor or activity that dizziness, weakness, sweating, with heart palpitations, chest tightness, weight when there is precordial pain, but no painful. No syncope, more than the sudden onset of these symptoms worsened. Physical examination: blood pressure 13/8, normal development, moderate nutrition, no abnormality of the lungs, slightly obtrusive heart sounds, heart rate 11 (?), Law, heart sounds normal, the valve area did not smell and noise, spleen not touched. Laboratory tests: routine hematuria will be normal. Liver and kidney function, blood glucose, blood lipids, ESR, T (?) T IV are normal. Urine VMA (-). Electrocardiogram Ⅰ lead R wave voltage 5mm, Ⅱ Ⅲ lead R wave voltage were 16mm, 11mm, TIavL low level, T Ⅱ, ⅢavF, v_4, v_5, v_6 inversion, chest X-ray showed narrow heart, chest and heart ratio 0.31,