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例1,男,70岁。因持续性胸痛胸闷3小时于1995年11月6日入院。既往有脑血栓、冠心病史5年。体检:T36.5℃,P96次/分,R21次/分,Bp23/12.5kPa。双肺无罗音,心界略向左扩大,律齐,无杂音。肝脾不大,双下肢不肿。心肌酶明显升高。ECG示广泛前壁心内膜下心肌梗塞。诊断:急性广泛前壁心内膜下心肌梗塞。入院后常规吸氧、心肺监护,硝酸甘油、利多卡因维持静点,症状消失。住
Example 1, male, 70 years old. Chest pain due to persistent chest pain for 3 hours on November 6, 1995 admission. Past cerebral thrombosis, coronary heart disease history of 5 years. Physical examination: T36.5 ℃, P96 beats / min, R21 beats / min, Bp23 / 12.5kPa. Lung non-rales, heart slightly expanded to the left, law Qi, no noise. Not large liver and spleen, both lower extremity is not swollen. Myocardial enzymes increased significantly. ECG showed extensive anterior myocardial infarction. Diagnosis: Acute wide anterior wall subendocardial myocardial infarction. After admission routine oxygen, cardiorespiratory monitoring, nitroglycerin, lidocaine to maintain the static point, the symptoms disappear. live