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男,66岁。因头昏、头痛8年加重伴持物不稳、恶心,四肢乏力4天入院。无慢性咳嗽史。体查:血压26.7/14.7kPa,神清懒言,胸廓对称,双肺清。心前区无隆起,心尖搏动在右第5肋间锁骨中线内4cm处,心界向右侧扩大,心率96次,A_2>P_2,余无异常。经脱水、降压等处理,血压正常,言语渐流利,脑CT扫描示右基底节区脑内出血。EKG示(如图):窦性心律,除aVR外各标准导联P波直立,电轴+90°,Ⅰ导联呈QR型,Q_1>1/4R,T波直立,Ⅱ、Ⅲ、aVF可见q波,Ⅱ、Ⅲ均正向,右心前导联R_(v1)>R_(v2)>R_(v3),V_1呈
Male, 66 years old. Due to dizziness, headache increased eight years with persistent physical instability, nausea, limb weakness 4 days admission. No history of chronic cough. Physical examination: blood pressure 26.7 / 14.7kPa, dexterity, thorax symmetry, lung clear. Pre-anterior region without uplift, apical beating in the right intercostal clavicle midline 4cm Department, heart to the right to expand, heart rate 96 times, A_2> P_2, I was no exception. Dehydration, blood pressure and other treatment, normal blood pressure, speech fluent, brain CT scan showed intracerebral hemorrhage in the right basal ganglia. EKG (Figure): sinus rhythm, except aVR P wave outside the standard lead straight, the axis of + 90 °, Ⅰ lead was QR type, Q_1> 1 / 4R, T wave upright, Ⅱ, Ⅲ, aVF Visible q wave, Ⅱ, Ⅲ are positive, right front R_ (v1)> R_ (v2)> R_ (v3), V_1 was