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病史摘要患者,男,37岁,门诊号362。因感冒后心悸2月余,伴乏力、纳差就诊。体检听诊心率126次/分,未闻及期外收缩,两下肢轻度浮肿,按窦性心动过速给予心得安治疗,服药后无效。2周后再次来保健站诊治。经仔细询问病史,得知患者近期来极度疲乏,易出汗,书写时因手抖常中断。体检:
Summary of medical history Patients, male, 37 years old, outpatient number 362. Fever after palpitations more than 2 months, with fatigue, anorexia treatment. Physical examination auscultatory heart rate 126 beats / min, no smell and period of contraction, two lower extremities mild edema, according to sinus tachycardia Andean treatment, medication invalid. After 2 weeks again to health station diagnosis and treatment. After careful medical history, I learned that patients with recent extreme fatigue, sweating, handwriting often interrupted when writing. Physical examination: