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男,60岁,以发作性心前区疼痛15年,加重伴呼吸困难3个月,诊为“冠心病”于1988年5月26日住院。15年前在情绪激动,饱餐及劳累时出现心前区不适或钝痛,向肩背放散、曾诊为“冠心病”服扩冠药无效,休息可缓解;能坚持轻体力劳动。近3月加重,伴气短夜间不能平卧。既往有“高血压”、“糖尿病”史。查体:体温、脉搏、呼吸正常,血压22/12kPa。典型肢端肥大症面容及体型。甲状腺不大。呼
Male, 60 years old, with episodic pre-cardiac pain for 15 years, aggravated with dyspnea for 3 months, diagnosed as “coronary heart disease” on May 26, 1988 hospitalized. 15 years ago in the emotional, full meal and tired when there precordial discomfort or dull pain, to the back of the shoulder, had been diagnosed as “coronary heart disease” service crown drug invalid, rest can be alleviated; can insist on light manual labor. Increased in recent March, with shortness of breath can not be supine. Past history of “high blood pressure”, “diabetes”. Physical examination: body temperature, pulse, normal breathing, blood pressure 22 / 12kPa. Typical acromegaly face and body size. Thyroid is not big. call