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1病例资料患者,女性,71岁,因“发作性胸骨后疼痛16h”入院。既往有高血压病史30年,自服药物治疗。糖尿病史3年,皮下注射胰岛素治疗。13年前因肾功能衰竭行肾移植术,术后一直服用免疫抑制剂。入院体检:体温36.6℃,脉搏16次/min,呼吸18次/min,血压130/85 mmHg(1 mmHg=0.133kPa)。营养中等,神志清楚,双肺未闻及干湿性啰音。心率85次/min,律齐,各瓣膜听诊区未闻及病理性杂音。腹部无压痛,无反跳痛,肝、肾区无叩痛。心电图检查示,窦性心律,Ⅰ、aVL、V_2-V_6导
A case of patients, female, aged 71, due to “episodic sternum pain 16h ” admission. Past history of hypertension 30 years, self-medication. History of diabetes 3 years, subcutaneous insulin therapy. 13 years ago due to renal failure renal transplantation, has been taking immunosuppressive agents after surgery. Admission physical examination: body temperature 36.6 ℃, pulse 16 times / min, breathing 18 times / min, blood pressure 130/85 mmHg (1 mmHg = 0.133kPa). Medium nutrition, conscious, lungs unheard of and wet and dry rales. Heart rate 85 beats / min, law Qi, the valve auscultation area has not heard of pathological murmurs. Abdominal tenderness, no rebound pain, liver, kidney area without percussion pain. ECG examination showed sinus rhythm, Ⅰ, aVL, V_2-V_6 guide