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患者,男,66岁,冠心病史近10年。近年屡有心绞痛发作。1984年5月31日下午2时因心前区压榨样疼痛15分钟急诊,当时描记心电图正常范围。给予硝酸甘油舌下含化缓解,5时30分再发心绞痛,描心电图于V_3、V_5导联可见倒置T 波及直立u 波,给予常规处理。6月1日晨1:30分心绞痛再次发作,描记心电图无梗塞波形,但V_4、V_5导联T 波直立,u 波倒置。6小时后第四次心绞痛发作,当时测BP140/80,面色苍白大汗,唇微绀、心率125次、律齐、心音低钝,可闻S_4,描记心电图示窦性心动过速,肢导低电压、急性广泛
Patients, male, 66 years old, history of coronary heart disease nearly 10 years. In recent years, angina pectoris often. May 31, 1984 at 2 pm because of precordial pain and 15-minute emergency press, then tracing the normal range of ECG. Give sublingual nitroglycerin relief, 5:30 angina pectoris, described ECG in the V_3, V_5 lead shows inverted T wave and upright u wave, given conventional treatment. 1:30 am on June 1 distraction angina attack again, tracing ECG without infarction waveform, but V_4, V_5 lead T wave upright, u wave inversion. 6 hours after the fourth episode of angina pectoris, was measured BP140 / 80, pale pale sweat, lip cyanosis, heart rate 125 times, law Qi, low heart sound blunt, can be heard S_4, ECG trace of sinus tachycardia, limb guide Low voltage, acute and wide