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患者女性,30岁,右上腹不适8年,曾诊断慢性胆囊炎。1992年1月2日晚因食牛肉面后感右上腹绞痛,同时伴心慌、恶心入院。体查:心界不大,心率60次/分,律齐,无病理性杂音。右上腹及剑突下压痛,局部腹肌紧张,莫菲氏征阳性,肝脾未触及。实验室检查:WBC 1.8×10~(10)/L,中性84%,电解质、肝肾功能正常。超声图象提示多发性胆结石及胆囊炎。心电图示窦律心律,65次/分,P—R 间期延长至0.32s,诊断为Ⅰ度房室传导阻滞。经口服普鲁苯辛
Female patient, 30 years old, right upper quadrant discomfort for 8 years, had a diagnosis of chronic cholecystitis. On the evening of January 2, 1992, the patient suffered from colic of the right upper quadrant after eating beef noodles, accompanied by palpitation and nausea. Physical examination: little heart, heart rate 60 beats / min, law Qi, no pathological murmur. Right upper quadrant and xiphoid tenderness, local abdominal muscle tension, Murphy’s sign positive, liver and spleen not touched. Laboratory tests: WBC 1.8 × 10 ~ (10) / L, 84% of neutral, electrolyte, liver and kidney function is normal. Ultrasound images suggest multiple gallstones and cholecystitis. ECG showed sinus rhythm, 65 beats / min, P-R interval was extended to 0.32s, the diagnosis of degree atrioventricular block. After oral probucol