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患者女，63岁。因头昏、心悸10天，加重1天伴昏厥数次于1990年11月3日入院。10天前，患者受凉后感头昏、心悸、乏力，伴低热、胸闷、咳嗽，中药治疗无效。1天前患者站立时突然昏倒，口吐白沫，四肢抽搐，小便失禁，持续数分钟后自行缓解，但头昏、心悸等症状加重。以后又于解小便、行走及卧床休息时类似发作数次而入院。近10年来劳累后心累、气促，未参加体力劳动，能胜任一般家务。家族中无类似疾病患者。查体：体温37.8℃，脉搏80次/分，血压14/6KPa（105/45mmHg），神清，唇发绀，咽充血，颈软。心界向左扩大，无震颤，心率80次/分，律不齐。心尖区及肺动脉瓣区有Ⅱ～Ⅲ/Ⅵ级吹风样收缩期杂音。P_2亢进、分裂。肝脾不大，双下肢不肿。
Female patient, 63 years old. Due to dizziness, palpitations 10 days, aggravating 1 day with syncope several times in November 3, 1990 admission. 10 days ago, the patient was feeling dizzy after cold, palpitations, fatigue, with fever, chest tightness, cough, Chinese medicine treatment is invalid. One day before the patient suddenly collapsed when standing, foaming at the mouth, limbs twitching, urinary incontinence, sustained self-ease after a few minutes, but dizziness, palpitations and other symptoms worse. Later in the solution urine, walking and bed rest a few times a similar episode and admission. Over the past 10 years tired after tired, shortness of breath, did not participate in manual labor, capable of general housework. No similar disease in the family. Examination: body temperature 37.8 ℃, pulse 80 beats / min, blood pressure 14 / 6KPa (105 / 45mmHg), Shen Qing, cyanosis, pharyngeal congestion, neck soft. Heart to the left to expand, no tremor, heart rate 80 beats / min, irregularities. Apex and pulmonary valve area Ⅱ ~ Ⅲ / Ⅵ hair-like systolic murmur. P_2 hyperthyroidism, split. Not large liver and spleen, both lower extremity is not swollen.