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患者,男性,22岁。因阵发性胸痛、胸闷、伴气短2月余,间断咳血1个月来院就诊。体检:左胸稍膨隆,心尖搏动于心前区弥散,剑突下心尖搏动明显有力,心率100次/min,叩诊左胸为浊音与心界相连,听诊左肺呼吸音弱,语音传导减弱,心底部可闻及第二心音分裂,余无阳性体征。心电图示窦性心律,正常心电轴,低电压,广泛T波倒置(Ⅰ、Ⅱ、avL、V_3~
Patient, male, 22 years old. Due to paroxysmal chest pain, chest tightness, accompanied by shortness of breath more than two months, intermittent hemoptysis came to the hospital for one month. Physical examination: left chest slightly bulging, apical pulse in the precordial area diffuse, apical pulse below the xiphoid obviously strong, heart rate 100 beats / min, palpation of the left chest is connected with the heart of the voiced sound, auscultation of the left lung breath sounds weak, voice conduction weakened, At the bottom of the heart, the second heart sound can be heard and there is no positive sign. ECG shows sinus rhythm, normal ECG axis, low voltage, extensive T wave inversion (I, II, avL, V_3~