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我科近年收治老年再发性心肌梗塞并多脏器损害4例,现报道如下。例1。男,73岁,1984年12月曾患急性前壁及前间壁心肌梗塞。1986年4月10日突然心前区闷痛伴大汗来诊。血压76/50mmHg,第一心音低钝,心率45次/分,右下肺湿罗音。心电图示急性下壁心肌梗塞及陈旧性前壁、前间壁心肌梗塞,二度Ⅱ型房室传导阻滞。入院次日呕吐咖啡样物前后共约3000毫升,口服正肾冰盐水及综合治疗,住院130天痊愈。例2:男,71岁,1985年作心电图发现陈旧性前间壁心肌梗塞。1986年11月突然心前区剧痛伴多汗来诊。血压120/80mmHg,心音低钝,心率104次/分,
In recent years, my department admitted to elderly patients with recurrent myocardial infarction and multiple organ damage in 4 cases, are reported below. example 1. Male, 73 years old, had an acute anterior and anterior myocardial infarction in December 1984. April 10, 1986 Suddenly precocious puberty with sweat to diagnose. Blood pressure 76 / 50mmHg, the first heart sound low blunt, heart rate 45 beats / min, right lower lung wet rales. ECG shows acute inferior myocardial infarction and old anterior wall, anterior myocardial infarction, second degree atrioventricular block. About vomit coffee sample on the next day before and after a total of about 3000 ml, oral Zhengshu ice saline and comprehensive treatment, hospitalized 130 days cured. Example 2: Male, age 71 years old, 1985 Electrocardiogram found old anterior myocardial infarction. In 1986 November sudden precordial pain accompanied by sweating. Blood pressure 120 / 80mmHg, heart sound low blunt, heart rate 104 beats / min,