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患者,男,51岁,1984年以胸骨后阵发性疼痛三个月为主诉入院。入院三个月前,因工作紧张、过度劳累,出现胸骨后阵发性窒息样疼痛,不向其它部位放射,每日发作一至数次不等,每次疼痛持续数分钟至十几分钟。体检:血压130/80mmHg,脉搏68次/分,呼吸17次/分,体温36.2℃,心界不大,各瓣口无杂音,心律整。双肺叩诊、听诊无异常。腹部柔软、无压痛、无肿块,肝脾无肿大,腹水征(一)。脊柱、四肢无异常。神经系检查:生理反射存在,病理反射未引出。胸透:双肺无病变,心脏形态大小无异常。血胆固醇178mg％,甘油三酯62mg％,β-脂蛋白266mg％,血糖86mg％。
The patient, male, 51 years old, was admitted to hospital in 1984 for three months after paroxysmal paroxysmal pain. Three months before admission, due to work stress, overwork, paroxysmal suprasternal asphyxia pain, radiation to other parts, one to several times a day attack, each pain lasting minutes to ten minutes. Physical examination: blood pressure 130 / 80mmHg, pulse 68 beats / min, breathing 17 beats / min, body temperature 36.2 ℃, the heart is not big, the petal no noise, rhythm whole. Pulmonary percussion, auscultation no exception. Abdomen soft, no tenderness, no lumps, no enlargement of liver and spleen, signs of ascites (a). Spine, limbs without exception. Neurological examination: the existence of physiological reflex, pathological reflex did not lead. Chest throat: no lung disease, no abnormal cardiac size. 178 mg% of blood cholesterol, 62 mg% of triglyceride, 266 mg% of β-lipoprotein, and 86 mg% of blood sugar.