论文部分内容阅读
患者,男,56岁。因头晕,头痛病史五年余,加重一周于1993—02—10入院.查体:体温36.5℃,脉搏81次/分,血压22/14kPa。神态清晰,语言流利;头、颈部无异常;两肺听诊无干湿罗音;心前区无隆起,心尖搏动向左下移位,叩诊心左界大,听诊于心尖部闻及Ⅰ级收缩期杂音,A_2亢进.实验室检查:仅见血总胆固醇高,为7.8mmol/L,余正常。X线检查:心脏呈主动脉型,左心室大,两肺无异常;心脏B超:左心室大,主动脉硬化,各瓣膜无异常;心电:窦律,左室肥厚,劳损。入院后诊断为高氧压病Ⅰ期,静点维脑路通,口服硝本吡啶及维生索类治疗.病人首次服用硝苯吡啶20mg后约半小时,自觉心前区压榨性,
Patient, male, 56 years old. Due to dizziness, headache history more than five years, increased one week in 1993-02-10 admission. Physical examination: body temperature 36.5 ℃, pulse 81 beats / min, blood pressure 22 / 14kPa. Clear and clear language, fluent language; no abnormalities in the head and neck; both lung auscultation without dry rales; anterior precordial uplift, apical beating shift to the lower left, percussion heart left border, auscultation in the apex of the Ministry and Ⅰ grade contraction Period murmur, A_2 hyperthyroidism. Laboratory tests: only see blood total cholesterol, 7.8mmol / L, more than normal. X-ray examination: the heart was aortic type, left ventricular large, two lungs without abnormalities; heart B super: left ventricular large, aortic sclerosis, the valves were normal; ECG: sinus rhythm, left ventricular hypertrophy, strain. Admitted to hospital diagnosed as hyperbaric oxygen disease stage I, intravenous Venoruton, oral nitrendipine and vitiligo treatment for the first time patients taking nifedipine 20mg about half an hour, conscience precocious squeeze,