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1 病例报告 患者,男,46岁。阵发性胸闷、心悸、心前区疼痛5年,加重2天入院。既往高血压病史10年,糖尿病史10年。入院体检:一般状态欠佳,神志清,肥胖体形,呼吸:21次/min,自主体位,口唇无发绀,颈静脉无充盈,心界不大,心率:68次/min,节律整齐,各膜听诊区未闻及病理性杂音,肺部及腹部无阴性体征。心电图示窦性心律,电轴不偏,Ⅰ、Ⅱ、Ⅲ、avL、avF、V_(4-6)ST段水平下移,T波倒置,V_(2-3)ST段抬高0.2mv,T波双向。血生化:血糖(空腹)15.28mmiL/L,甘油三脂2.69mmiL/L,总胆固醇6.85mmiL/L,血尿酸426umoL/L。尿糖4+。胸片示心肺未见异常,超声心动示各房室内经正常,室壁动力轻度弥漫性减弱。肌钙蛋白T阴性。冠脉造影示
1 case report patient, male, 46 years old. Paroxysmal chest tightness, palpitations, pre-palpitation pain for 5 years, increased 2 days admission. Previous history of hypertension 10 years, history of diabetes 10 years. Admission physical examination: poor general condition, conscious, obese body shape, breathing: 21 times / min, autonomic position, lips without cyanosis, jugular vein filling, heart, heart rate: 68 beats / min, Auscultation area did not smell and pathological murmur, no negative signs of the lungs and abdomen. ECG showed sinus rhythm, the electric axis was not partial, Ⅰ, Ⅱ, Ⅲ, avL, avF, V_ (4-6) ST segment level down, T wave inversion, V_ (2-3) ST segment elevation 0.2mv, T Wave two-way. Blood biochemistry: blood glucose (fasting) 15.28mmiL / L, triglycerides 2.69mmiL / L, total cholesterol 6.85mmiL / L, uric acid 426umoL / L. Urine 4 +. Chest X-ray showed no abnormal heart and heart, echocardiography showed normal indoor chamber, room wall mild mild diffuse weakness. Troponin T negative. Coronary angiography showed