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朱某,男性,75岁,住院号4312。患者心悸、胸闷3天,于1991年6月11日入院。平时能胜任一般体力活动,无心绞痛、气急、浮肿史。有高血压病史10年,不规则服降压药。入院体检:神志清,无呼吸困难,口唇无紫绀。颈静脉无怒张,心尖搏动不弥散,心浊音界正常。心率68次/分,心律不规
Zhu, male, 75 years old, hospital number 4312. Patients with heart palpitations, chest tightness, 3 days, in June 11, 1991 admission. Usually able to perform general physical activity, no angina, shortness of breath, edema history. A history of hypertension for 10 years, irregular service antihypertensive drugs. Admission medical examination: Consciousness, no breathing difficulties, lips without cyanosis. No jugular vein engorgement, apical beat is not dispersed, normal heart voiced sound sector. Heart rate 68 beats / min, irregular heart rhythm