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临床资料 例1,男,50岁,主因持续性心前区及左后背疼痛3小时,伴有胸闷、憋气、出汗、急做ECG示下壁及广泛前壁急性心梗,频发室早、室早二联律。查体:Bp10.66/6.7kPa,神清,面色苍白、气促、大汗。即给止痛、镇静、吸氧、建立静脉通道,给多巴胺升压及利多卡因抗心律失常治疗,病情缓解。发病6小时内给口服阿斯匹林250mg顿服(嚼服),肝素钙7500u静脉小壶,rt—PA10mg 5分钟快速滴入,余量90mg于3小时内缓慢静点,用药1小时后复查ECG原抬高Ⅱ、Ⅲ、aVF及胸前导联S—T段回到基线,2小时后胸痛、胸闷、弊气
Clinical data Example 1, male, 50 years old, mainly due to persistent anterior and left back pain for 3 hours, accompanied by chest tightness, suffocation, sweating, acute ECG showed inferior and extensive anterior wall acute myocardial infarction, frequent room Early, early room couplets. Physical examination: Bp10.66 / 6.7kPa, God clear, pale, shortness of breath, sweating. That is to give pain, calm, oxygen, the establishment of intravenous access to dopamine and lidocaine anti-arrhythmia treatment, remission. Within 6 hours of onset to oral aspirin 250mg Dayton clothing (chewing clothes), heparin calcium 7500u venous cans, rt-PA10mg rapid infusion for 5 minutes, the remaining 90mg slow static point within 3 hours, 1 hour after treatment review ECG original elevation Ⅱ, Ⅲ, aVF and chest lead S-T segment back to baseline, chest pain after 2 hours, chest tightness, cheesy