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1.临床资料某男52岁,病历号904408。入院前1周无明显诱因阵发性右侧胸痛,向右肩部放散,同时伴左侧上肢麻木,疼痛时伴大汗,持续30分钟左右,含服消心痛、硝酸甘油效果不显著,心电图V_5导联ST段轻度下移,余正常,门诊以冠心病、不稳定心绞痛收入院。既往5年前诊断高血压病Ⅱ期,冠心病不稳定型心绞痛。入院后查体;BP18.8/12.2kPa、面红润、呼吸平稳、两肺呼吸音清、心率96次/分,节律规整,未闻及杂音,腹平,肝脾未触及,双下肢浮
1. Clinical data A male 52 years old, medical record number 904408. One week before admission, no obvious incentive to paroxysmal right chest pain, right shoulder, dissipated, accompanied by left upper limb numbness, pain accompanied by sweating, sustained about 30 minutes, embolism heartburn, no significant effect of nitroglycerin, ECG V_5 lead ST segment slightly down, I normal, out-patient coronary heart disease, unstable angina income hospital. 5 years ago, the diagnosis of hypertension Ⅱ, coronary heart disease, unstable angina. Admission examination; BP18.8 / 12.2kPa, ruddy, smooth breathing, lung breath sounds clear, heart rate 96 beats / min, regular rhythm, no smell and noise, abdominal flat, liver and spleen not touched,