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患者男性,51岁,因发作性心前区疼痛伴乏力2天,于1989年11月24日入院。体检:T36.8℃,BP90/60mmHg(12/8kPa),双肺呼吸音清晰,心率75次/min,律齐,心音低钝,无病理性杂音,腹软,肝脾未及。心电图(图1)示:P-R 间期0.12s,ORS 时间0.12s,QRS 形态:Ⅱ、班、aVF 导联均呈 QS 型,V_1—V_4导联呈 R 型,V_5、V_6导联呈 Rs 型,V_1—V_6QRS 波群起始部均见δ波,ST:Ⅱ、Ⅲ、aVF 导联抬高0.1mV,T:Ⅰ、aVL、V_1—V_4导联倒置。ECG 诊断:窦性心律,预激综合征,急性下壁心肌梗塞待排。实验室检查;血常规正常,血沉15mm/h,GOT 正常。临床诊断:预激(WPW)综合征,急性下壁心肌梗塞
The patient, male, 51 years old, was admitted to hospital on November 24, 1989 because of episodic pre-anorexia pain with 2-days fatigue. Physical examination: T36.8 ℃, BP90 / 60mmHg (12 / 8kPa), clear breath sounds of lungs, heart rate 75 beats / min, law Qi, low heart sound blunt, no pathological murmur, abdominal soft, liver and spleen not yet. ECG (Figure 1) showed: PR interval 0.12s, ORS 0.12s, QRS morphology: Ⅱ, class, aVF lead were QS type, V_1-V_4 lead was R type, V_5, V_6 lead was Rs type In the beginning of V_1-V_6QRS group, all the δ waves were observed. The lead of ST: Ⅱ, Ⅲ and aVF was raised by 0.1mV, and the leads of T: Ⅰ, aVL and V_1-V_4 were inverted. ECG diagnosis: sinus rhythm, Wolff-Parkinson’s syndrome, acute inferior myocardial infarction to be discharged. Laboratory tests; normal blood, erythrocyte sedimentation rate 15mm / h, GOT normal. Clinical diagnosis: pre-excitation (WPW) syndrome, acute inferior myocardial infarction