论文部分内容阅读
1病例资料患者,女,72岁,主因“活动时胸闷、气短5个月,加重伴心悸乏力2d”于2011-10-30收入我院。患者入院前5个月开始于慢走约1 000米时出现胸闷、气短,持续数分钟,休息后缓解,未予以诊治。活动耐量呈进行性下降,入院前慢走约100米即出现上述症状。无咳嗽、咳痰,无夜间阵发性呼吸困难。入院前2d再发胸闷、气短,持续约1h,伴心悸、双下肢乏力。在当地医院查心电图发现Ⅲ、aVF
1 case data patients, female, 72 years old, mainly due to “activity chest tightness, shortness of breath 5 months, aggravated with palpitations fatigue 2d ” in 2011-10-30 income in our hospital. Patient began to slow down about 1 000 meters five months before the onset of chest tightness, shortness of breath, continued for several minutes, after remission to ease, not to diagnosis and treatment. Activity tolerance was decreased progressively, walk about 100 meters before admission that the above symptoms. No cough, expectoration, no paroxysmal nocturnal dyspnea. 2d before admission to recaptured chest tightness, shortness of breath, lasted about 1h, with palpitations, both lower extremities fatigue. In the local hospital check electrocardiogram found Ⅲ, aVF