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患者,男,35岁,内科医师。1985年12月23日18时,和同志打闹约1分钟后,突感心前区不适、心悸,气短及胸闷,立即自己听诊,于心尖部闻及杂音,速来就诊。既往健康,经常参加长跑、打球等活动,病前健康检查心脏正常。查体:P74次/分。口唇无发绀,颈静脉无怒张,双肺正常,心尖搏动位于左锁骨中线内第5肋间隙,范围为3.0×3.0厘米,可触及收缩期震颤。心界不大,心尖部可闻及Ⅳ级全收缩期粗糙杂音及高音调的雁鸣音,并向左腋下传导,心率74次/分,律齐。肝未触及,双下肢无浮肿。胸透、实验室及心电
Patient, male, 35 years old, physician. At 18:00 on December 23, 1985, and comrades slapped for about 1 minute, the patient felt discomfort, heart palpitations, shortness of breath and chest tightness. Immediately herself auscultated. Past health, often participate in long-distance running, playing and other activities, pre-sick heart health check-up. Physical examination: P74 beats / min. No cyanosis of the lips, jugular vein without tension, normal lungs, apex beat in the middle of the left clavicle 5 intercostal space, the range of 3.0 × 3.0 cm, can reach systolic tremor. Heart is small, the apex can be heard and Ⅳ full contraction of rough noise and high pitched goose beats, and left axillary conduction, heart rate 74 beats / min, law Qi. Liver not touched, no swelling of both lower extremities. Chest throat, laboratory and ECG