论文部分内容阅读
例1 男,42岁,业务员。因饱餐后突然剧烈胸痛、大汗淋漓就诊,心电图检查示广泛前壁急性心肌梗塞。于1974年5月入院。既往体健。查体:血压120/80mmHg,呼吸18次/分,脉搏78次/分,神志清。头颈器官无异常,胸廓无畸形,两肺(一),心率78次/分,心音低弱,无杂音,节律整。腹部检查未发现异常,化验:白细胞15,400/mm~3,中性78/％,淋巴22％,尿常规正常。胸透(一)。心电图:广泛前壁急性心肌梗塞。入院后给予吸氧、止疼、镇静、极化疗法、能量合剂加肝素等治疗,病情稳定,入院后半月时,病人自述腰痛,颜面轻度浮肿,血压160/100mmHg,尿常规:红白细胞满视野,颗粒管型++,蛋白
Example 1 male, 42 years old, salesman. Suddenly severe chest pain after a full meal, sweating, ECG showed extensive anterior wall acute myocardial infarction. In May 1974 admitted. Past physical health. Physical examination: blood pressure 120 / 80mmHg, breathing 18 beats / min, pulse 78 beats / min, consciousness clear. No abnormalities of the head and neck organ, thoracic deformity, two lungs (a), heart rate 78 beats / min, low heart sounds, no noise, rhythm whole. Abdominal examination found no abnormalities, laboratory tests: white blood cells 15,400 / mm ~ 3, 78% neutral, lymph 22%, normal urine. Chest through (a). ECG: Extensive anterior wall acute myocardial infarction. After admission to give oxygen, pain, sedation, polarization therapy, energy mixture plus heparin and other treatment, stable condition, half a month after admission, the patient reported low back pain, mild swelling of the face, blood pressure 160 / 100mmHg, urine routine: Vision, particle tube ++, protein