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患者男性,47岁,因阵发性胸痛半小时,于2001年1月15日19点30分入院。追问病史。患者近10年患有“高血压,风湿性关节炎,十二指肠球部溃疡”等。2000年11月曾因胸背部刺痛住我院,发现胸腔积液,抽出800ml,血性液体,给用菌必治和丁胺卡那注射液,以及地塞米松等治疗症状消失出院(出院诊断不详)。此次入院前患者在休息时突然背部及心前区针刺样疼痛难忍,面色仓白,四肢末端发凉,全身大汗,心悸气急,恶心呕吐,小便失禁。平卧半小时后上述症状缓解,但仍感胸部闷胀不适。入院查体:
Male, 47 years old, was admitted to hospital at 19:30 on January 15, 2001 due to paroxysmal chest pain for half an hour. Ask history. Nearly 10 years with patients with “high blood pressure, rheumatoid arthritis, duodenal ulcer” and so on. In November 2000, he was hospitalized with thoracodorsal stabs and found pleural effusion. He was given 800ml of bloody fluid and discharged to hospital for treatment with dexamethasone and dexamethasone Unknown). Before the admission of patients at rest suddenly back and precordial acupuncture-like unbearable pain, looking warehouse white, extremities cold, sweating, palpitations, nausea and vomiting, urinary incontinence. Half an hour after lying above the symptoms ease, but still feel chest discomfort. Admission examination: