论文部分内容阅读
第一次查房(1987年6月17日)主治医师:请实习医师报告病历。实习医师:患者,女,55岁。发作性心前区痛4年,加重5小时,于1987年6月16日入院。4年来经常于饱餐后或劳累后出现心前区胀痛,无放射,每次持续约3分钟,经休息含服硝酸甘油可缓解。心电图示心肌缺血,诊为冠心病。近2年来发作频繁,并向肩胛区及左上肢放射。伴有活动后气短,夜间不能平卧。曾2次在外院按
The first rounds (June 17, 1987) attending physician: Please report the medical record of the intern. Intern: Patient, female, 55 years old. Episodic anterior heart pain 4 years, increased 5 hours, on June 16, 1987 admission. 4 years often after eating or exerting precocious pain, no radiation, each lasting about 3 minutes, after taking nitroglycerin can be relieved. ECG myocardial ischemia, diagnosed as coronary heart disease. In the past two years episodes frequently, and to the scapular area and left upper limb radiation. Shortness of breath accompanied by activity, can not be supine at night. Had 2 times by the outer court