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患者,男,61岁。因心悸、胸闷5天伴反复晕厥,短阵抽搐10余次于1993年5月24日入院。起病前有上呼吸道感染史,既往史无特殊。体检:体温37℃,脉搏42次/分,血压15/8kPa。神志清楚,对答切题。咽充血,扁桃体无肿大,颈静脉无充盈,双肺呼吸音清晰,未闻及干湿罗音,心前区无隆起,无抬举样搏动及震颤,心界不扩大,心率42次/分,节律不齐,偶闻大炮音,未闻杂音及附加音,腹(-),双下肢不肿,神经系统(-)。急查心电图提示窦律,Ⅲ
Patient, male, 61 years old. Due to palpitations, chest tightness 5 days with repeated fainting, short seizures more than 10 times in May 24, 1993 admission. Before the onset of upper respiratory tract infection history, no previous history. Physical examination: body temperature 37 ℃, pulse 42 beats / min, blood pressure 15 / 8kPa. Consciousness, answers to questions. Pharyngeal hyperemia, tonsil without swelling, no filling of jugular vein, clear breath sounds of both lungs, no smell of dry and wet rales, no uplift in precordial area, no lift-like beating and tremor, heart does not expand, heart rate 42 beats / min , Irregular rhythm, occasional cannon sounds, unheard noises and additional sounds, belly (-), both lower extremities not swollen, nervous system (-). Emergency ECG prompted sinus rhythm, Ⅲ