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1病例简介患者男,39岁。因“心慌、胸闷3d”于2011年5月31日入院。3d来患者常在活动后出现心慌、胸闷,休息后可缓解,曾有夜间憋醒现象。患者既往无冠心病、高血压和糖尿病病史,无手术外伤史,无房颤、心脏瓣膜病史。入院查体:体温36.5℃,心率90次/min,血压130/90mm Hg(1mm Hg=0.133kPa)。双肺未闻干、湿罗音,心脏各瓣膜听诊区未闻及杂音。左上腹轻压痛,无反跳痛,移动性浊音阴性,肝脾肋下未及,双下肢无水肿。辅助检查:心脏彩超(外院)示右室内径稍大。入院后心电图示窦性心动过速。X线胸片未见明显
1 case description Patient male, 39 years old. Because of “” palpitation, chest tightness 3d "on May 31, 2011 admitted. 3d patients often appear after the event palpitation, chest tightness, rest can ease, there was a nighttime arousal phenomenon. Patients without prior coronary heart disease, hypertension and diabetes history, no history of surgical trauma, no atrial fibrillation, history of heart valves. Admission examination: body temperature 36.5 ℃, heart rate 90 beats / min, blood pressure 130 / 90mm Hg (1mm Hg = 0.133kPa). Two lungs did not smell dry, moist rales, the heart of the valve auscultation area did not smell and noise. Left upper quadrant mild tenderness, no rebound pain, mobility dullness negative, liver and spleen ribs, and no lower extremity edema. Auxiliary examination: echocardiography (outside the hospital) showed a slightly larger right ventricular diameter. After admission ECG showed sinus tachycardia. X-ray no obvious