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1病例资料患者,女,61岁。因“胸痛、胸闷10d”入院。于10d前无明显诱因突发剧烈胸痛,伴胸闷,持续不缓解,伴出汗,伴左侧肩胛区及左上肢放射痛,无心悸、气短,无腹痛及腰背部疼痛,无恶心、呕吐,无头晕、头痛,无黑曚、晕厥。就诊于当地医院,查心电图示V1~V5导联ST段弓背上抬0.1~0.5mV,肌酸激酶同工酶(CK-MB)60.6ng/ml,肌钙蛋白I(cTnI)23.25ng/ml,肌红蛋白(myo)362.5ng/ml,诊断为急性前侧壁心肌梗死,给予尿激酶
1 case information patients, female, 61 years old. Because of “chest pain, chest tightness 10d ” admission. No obvious incentive before 10d Suddenly severe chest pain, chest tightness, persistent non-remission, with sweating, with left shoulder and left upper limb radiating pain, no heart palpitations, shortness of breath, no abdominal pain and back pain, no nausea, vomiting, No dizziness, headache, blackheads, fainting. Visit the local hospital to check the electrocardiogram ECG V1 ~ V5 lead ST segment dorsal raise 0.1 ~ 0.5mV, creatine kinase (CK-MB) 60.6ng / ml, troponin I (cTnI) 23.25ng / ml, myoglobin 362.5ng / ml, diagnosed as acute anterior wall myocardial infarction, given urokinase