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病历摘要患者男性,31岁,兽医。住院号146685。因胸闷一年余,呕吐、腹泻及气急进行性加剧一月,于1979年12月27日急诊入院。患者于1965年(17岁)体检时发现心脏扩大。1978年6月28日因不慎左前胸部被自行车撞击后觉胸闷、胸痛曾在当地医院就诊,体检示左前胸有轻度压痛,血压正常,心率100次,律齐,心音低,心前区有Ⅰ～Ⅱ级收缩期吹风样杂音。X线胸透示心影明显扩大。心电图示窦性心动过速、心肌劳损、Ⅰ°房室传导阻滞、完全性右束支
Medical record Summary Male patient, 31 years old, veterinarian. Hospital number 146685. More than one year due to chest tightness, vomiting, diarrhea and aggravating sexual advances in January, on December 27, 1979 emergency admission. The patient found enlargement of the heart during a physical examination in 1965 (age 17). June 28, 1978 because of careless left chest was hit by a bicycle after feeling chest tightness, chest pain had a local hospital for treatment, physical examination showed mild left chest pain, normal blood pressure, heart rate 100 times, law Qi, low heart sound, precordial Ⅰ ~ Ⅱ grade systolic hair-like murmur. X-ray showed significantly enlarged heart chest X-ray. ECG shows sinus tachycardia, myocardial strain, Ⅰ ° atrioventricular block, complete right bundle branch