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患者男性,48岁,报务员。两个月来上楼时心慌、气促、出汗,休息后可缓解。常有胸闷及夜间呼吸困难,于1990年因心电图发现心肌缺血而入院。 查体:心界向左下扩大,心尖区S_1稍低钝,心尖区及胸骨左缘Ⅳ肋间听到S_4,P_2>A_2,P_2亢进、分裂。肝右肋下3cm,质软。双下肢轻度浮肿。余正常。 化验结果:血、尿、便常规、肝功能、血沉、抗“O”、粘蛋白、类风湿因子、血蛋白电泳、免疫球蛋白、血糖及血清T_3、T_4、FT_3、FT_4、ANF均正常。血尿酸666.4～345.1 μmol/L,血肌酐1.1～2.8μmol/L,尿素氮5.60～12.1 mmol/L。血粘滞度、全血粘度:高切7.26,低切12.89,血浆粘度1.79,红血球压迹56％。B超:肝肿大,左肾较右肾小。超声心动图:疑冠心病,超声图示室间隔12.7mm,右室增大,左室顺应性低下,心包少量积
Male patient, 48 years old, operator. Two months upstairs palpitation, shortness of breath, sweating, rest can ease. Often chest tightness and difficulty breathing at night, in 1990 due to myocardial ischemia found ECG. Physical examination: the heart to expand to the left, apical lower S_1 slightly blunt, apical area and sternum left intercostal space IV hear S_4, P_2> A_2, P_2 hyperthyroidism, division. Liver right rib 3cm, soft. Lower extremity mild edema. More than normal. The results of the tests were: blood, urine, routine, liver function, ESR, anti - O, mucin, rheumatoid factor, blood protein electrophoresis, immunoglobulin, blood glucose and serum T_3, T_4, FT_3, FT_4, ANF were normal. Serum uric acid 666.4 ~ 345.1 μmol / L, serum creatinine 1.1 ~ 2.8μmol / L, urea nitrogen 5.60 ~ 12.1 mmol / L. Blood viscosity, whole blood viscosity: high-cut 7.26, low cut 12.89, plasma viscosity 1.79, red blood cell track 56%. B-super: hepatomegaly, left kidney is smaller than the right kidney. Echocardiography: suspected coronary heart disease, ultrasound showed interventricular septum 12.7mm, right ventricular enlargement, left ventricular compliance is low, a small pericardial product