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1 临床资料 患者男性,48岁,歼-7飞行员,飞行时间1700h。因心前区酸麻痛、并向左肩部及手臂放散,反复发作半个月,加重4h入院。患者既往有“痛风”病史15年,时有发作。1994年体检发现血压130/90 mmHg(1mmHg=0.133kPa),此后,血压有时正常,有时偏高,未治疗,照常飞行。入院后体检:体温36.4℃,脉搏65/min,血压160/100 mmHg,神清,急性痛苦面容,心肺听诊未见异常,肝未触及。血生化:CPK、AST和LDH分别为1225U/L、64U/L和222U/L,6h时后分别上升到4975U/L、351U/L和780U/L,血尿酸
1 clinical data of patients male, 48 years old, J-7 pilots, flight time 1700h. Due to precordial sore, and to the left shoulder and arm to disperse, recurrent for half a month, increased 4h admission. The patient had a history of “gout” for 15 years and sometimes had an episode. 1994 physical examination found that blood pressure 130/90 mmHg (1mmHg = 0.133kPa), since then, sometimes normal blood pressure, sometimes high, untreated, as usual. Physical examination after admission: body temperature 36.4 ℃, pulse 65 / min, blood pressure 160/100 mmHg, Shen Qing, acute painful face, cardiopulmonary auscultation no abnormalities, the liver has not touched. Blood biochemistry: CPK, AST and LDH were 1225U / L, 64U / L and 222U / L respectively. After 6 hours, the levels of CPK, AST and LDH increased to 4975U / L, 351U / L and 780U / L,