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患者,女,30岁,因“胸闷、胸痛1月余”就诊,患者1个月前无诱因出现胸痛,呈持续性,稍有咳嗽,无明显咳痰,活动后稍有气喘,无发热。入院查体:体温36.5℃,脉搏96次/分,呼吸18次/分,血压176/91mm Hg。实验室检查(血常规、心肌标志物、结核菌抗体、结核感染T细胞斑点实验、肿瘤指标)均未见异常。心电图示:窦性心律,R波递增不良(V1-V3),不完全性右束支传导阻滞。心脏超声示:
Patient, female, 30 years old, due to “chest tightness, chest pain more than 1 month ” treatment, the patient 1 month ago, there was no incentive for chest pain, was persistent, a little cough, no obvious sputum, a little wheezing after activity, no fever. Admission examination: body temperature 36.5 ℃, pulse 96 beats / min, breathing 18 beats / min, blood pressure 176/91 mm Hg. Laboratory tests (blood tests, myocardial markers, Mycobacterium tuberculosis, T-cell infection in tuberculosis, tumor markers) showed no abnormalities. ECG shows: sinus rhythm, R wave increased poor (V1-V3), incomplete right bundle branch block. Cardiac ultrasound showed: