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病例:李某,男,73岁,南昌县人。因进食与饮水时发作心悸、气逼、胸前痛一个月而于1981年8月22日入院。患者于上月初起、突然出现发作性心悸、气逼,并有胸骨后疼痛。发作多与进食或饮水有关,每次持续约半小时,最长达2小时;发作时心率每分钟在160次以上;严重时有头昏,乏力,恶心,呕吐及上腹部胀痛。1971年发现有高血压病、并有慢性支气管炎史。本人无烟酒嗜好。体检:血压90/60mmHg,神志清楚,发育一般,营养稍差,口唇轻度发绀;颈静脉轻度怒张,甲状腺不肿大;心率170次/分,律不齐,心脏末闻及杂音,A_2=P_2,肺无
Case: Lee, male, 73 years old, Nanchang County. Due to eating and drinking episodes of heart palpitations, forced gas, chest pain a month and on August 22, 1981 admission. From the beginning of last month, the patient suddenly developed episodes of palpitations, gas, and post-sternal pain. Seizures and eating or drinking-related, each lasting about half an hour, up to 2 hours; attack heart rate more than 160 times per minute; severe dizziness, fatigue, nausea, vomiting and abdominal pain. Hypertension was found in 1971 and had a history of chronic bronchitis. I do not smoke alcohol hobby. Physical examination: Blood pressure 90 / 60mmHg, conscious, general development, slightly less nutritious, slightly cyanotic lips; jaundice slightly jugular, thyroid does not enlarge; heart rate 170 beats / min, irregular arrhythmia, A_2 = P_2, no lungs