临床资料患者,女,47岁,因“胸闷6年”入院。患者6年前无明显诱因出现胸闷,活动后加重,偶有夜间入睡后胸闷憋醒,近半年来症状加重。入院查体:体温36.3℃,脉搏76次/分,呼吸18次/分,血压106/72 mm Hg,面容正常,双肺呼吸音稍粗,未闻及干湿性啰音,心率76次/分,律齐,胸骨左缘第2~4肋间闻及柔和的舒张期杂音,肝脏肋下4 cm,双 Clinical data Patients, female, 47 years old, due to “chest tightness 6 years ” admission. 6 years ago, there was no obvious incentive for patients with chest tightness, aggravating after exercise, occasional nighttime chest tightness, wake up, the symptoms increased in the past six months. Admission examination: body temperature 36.3 ℃, pulse 76 beats / min, breathing 18 beats / min, blood pressure 106/72 mm Hg, normal face, lung breath sounds a bit coarse, unheard and wet and dry rales, heart rate 76 beats / Points, law Qi, left sternal border 2 to 4 intercostal smell and gentle diastolic murmur, liver ribs 4 cm, double