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1病例资料患者,男,87岁,体质量62 kg,因“胸闷、心慌、右下肢疼痛1个月,加重2 d”入院。既往“心肌梗死”病史20年,“房颤”病史10年,“脑梗死”病史1年。入院后完善相关辅助检查,诊断:1冠状动脉粥样硬化性心脏病、陈旧性前壁、下壁心肌梗死、心房颤动、心功能Ⅲ级(NYHA);2下肢动脉硬化闭塞症;3高血压病1级(很高危);4脑梗死后遗症。治疗以抗血小板聚集、调脂、
1 case data, male, 87 years old, body weight 62 kg, due to “chest tightness, palpitation, right lower extremity pain for 1 month, increased 2 d ” admission. Previous “myocardial infarction ” history of 20 years, “atrial fibrillation ” history of 10 years, “cerebral infarction ” history of 1 year. After admission to improve the relevant auxiliary examination, diagnosis: 1 coronary atherosclerotic heart disease, old anterior wall, inferior wall myocardial infarction, atrial fibrillation, cardiac function grade (NYHA); 2 lower extremity arteriosclerosis obliterans; 3 hypertension Disease 1 (very high risk); 4 cerebral infarction sequelae. Treatment with anti-platelet aggregation, lipid-lowering,