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患者男 ,62岁。入院前一周晨 ,突感咽部烧灼 ,后出现胸骨下部灼痛 ,自含速效救心丸 ,一小时后缓解。入院前一小时 ,再发胸痛 ,呈压榨感 ,面色苍白 ,大汗 ,疼痛进行性加重 ,门诊以“胸痛待查”收住入院。既往 :风心病 4 0年伴房颤 2 0余年 ,1 961年行二间瓣分离术。可疑糖尿病 1
Male patient, 62 years old. A week before admission, sudden sensation pharyngeal burning, the lower part of the chest after burning, self-contained quick cure heart pills, relieve an hour later. An hour before admission, recurrent chest pain, was squeezed feeling, pale, sweating, pain progressive, clinics to “chest pain pending investigation” admitted to hospital. Past: 40 years of rheumatic heart disease with atrial fibrillation more than 20 years, 1961 years, two valve surgery. Suspected diabetes 1