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例1:女性,72岁。因“突发胸痛,胸闷12 h”入院。既往有高血压、冠心病史。入院体格检查:神志清楚,血压145/86 mmHg,颈静脉无充盈,两肺呼吸音清,心率180次/min,律齐,无杂音,心脏相对浊音界正常范围。全腹平软,肝脾肋下未及,双下肢无浮肿。ECG 示室上性心动过速。入院诊断考虑“心律失常(室上性心动过速),冠心病,高血压病3级(极高危组)”。处理给予静脉推注心律平,当心律平推注至
Example 1: Female, 72 years old. Due to “sudden chest pain, chest tightness 12 h ” admission. Past history of hypertension, coronary heart disease. Admission physical examination: conscious, blood pressure 145/86 mmHg, no filling of the jugular vein, lung breath sounds clear, heart rate 180 beats / min, law Qi, no noise, the normal diastolic heart relative range. Full belly soft, liver and spleen ribs, and no swelling of both lower extremities. ECG showed supraventricular tachycardia. Admission diagnosis to consider “arrhythmia (supraventricular tachycardia), coronary heart disease, hypertension 3 (very high risk group) ”. Treatment given to intravenous injection of heart rate, when the heart rate push to