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患者,男,63岁,因“反复晕倒3年,再发伴胸痛、湿汗3h”于2014年7月30日入院。现病史:患者近3年来无诱因反复出现晕倒,多在站立时出现,不伴胸痛、胸闷,无意识丧失,自己未在意。入院当日上午在站立时再次无诱因出现晕倒,伴有胸痛,为胸骨后及心前区部位闷痛,伴湿汗,晕倒约5min后意识恢复。来昆明市第一人民医院急诊科就诊,急诊心电图(图1)提示:窦性心律,Ⅱ、Ⅲ、aVF导联可见病理性Q波,V1~3
Patient, male, 63 years old, admitted to hospital on July 30, 2014 due to “repeated fainting for 3 years, recurrent chest pain, wet sweat 3h”. Current history of illness: patients nearly fainted in the past three years, fainted, often appear when standing, without chest pain, chest tightness, unconscious loss, they did not care. On the morning of admission, there was no cause of fainting again when standing, with chest pain, tenderness and pain in the area of the sternum and anterior placenta, wet sweat, fainting consciousness recovery after about 5min. To the First People’s Hospital of Kunming Emergency Department visits, emergency ECG (Figure 1) Tip: sinus rhythm, Ⅱ, Ⅲ, aVF lead visible pathological Q waves, V1 ~ 3