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病例报告胡××,女,74岁,广州人,住院号53764。1979年6月30日急诊入院。院史:入院前3小时突然发作心前区翳痛、无放射,伴大汗淋漓、气紧,四肢湿冷。入院后即作心电图检查,诊断:早期前壁心肌梗塞;肺部透视为主动脉形心,肺气肿感染。过去有高血压史10余年,血压曾高达190/110,有慢性咳嗽史5～6年,否认哮喘、结核、关节疼痛史。体检:体温38.5℃,脉搏160次,呼吸40次,血压160/110,神志清,急性病容,面色苍白,唇指发绀,四肢冰冷,呼吸浅促,颈静脉中度怒张,双肺可闻散在哮鸣及湿性啰音,心界扣诊不清楚,心率160次,呈单心音,心尖区可闻局限性Ⅱ级收缩期杂音,不传导,胸骨左缘第3～4肋间可闻Ⅳ级全收缩期杂音,P_2=A_2,腹软,肝脾未触及,下肢轻度浮肿。化验室检查:血像:白细胞12,800,杆状4%,
Case report Hu × ×, female, 74 years old, Guangzhou, hospital number 53764. June 30, 1979 emergency admission. Hospital history: 3 hours before admission sudden onset of precordial pain, no radiation, with sweating, tightness, cold and limbs. After admission for electrocardiogram examination, diagnosis: anterior myocardial infarction; pulmonary fluoroscopy as the aortic heart, emphysema infection. In the past there was a history of more than 10 years of history of hypertension, blood pressure was as high as 190/110, history of chronic cough 5 to 6 years, denied the history of asthma, tuberculosis, joint pain. Physical examination: body temperature 38.5 ℃, pulse 160 times, breathing 40 times, blood pressure 160/110, clear consciousness, acute disease, pale, lips cyanotic, limbs cold, shallow breathing, jugular jerk, lungs can be heard Scattered in the wheezing and wet rales, the heart is not clear withholding, heart rate 160 times, a single heart sound, apex area can be heard limited Ⅱ systolic murmur, no conduction, the left sternal border 3 to 4 can be heard IV Level systolic murmur, P_2 = A_2, abdominal soft, liver and spleen not touched, lower extremity mild edema. Laboratory tests: blood like: white blood cells 12,800, rod 4%