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1病例资料患者1,女性,58岁,因“反复胸闷、气促4年,胸痛5d”于2016年6月8日入院。患者于2016年6月3日晚上9点无明显诱因突发心前区疼痛,呈烧灼样,手掌范围大小,向左上肢、颈项部、后背放射,伴恶心、呕吐,无心悸、黑朦、晕厥,急送至弋阳县人民医院就诊,给予“控制血压、扩张冠脉”(具体不详)等处理后疼痛缓解,期间疼痛共持续1h左右。2016年6月8日4点半起床“解大便”后再次发作胸痛,疼痛范围、性质、程度基本同前,疼痛持续不能缓解。遂至南昌大学第二附属医院就诊,体检:心率68次/min,血压138/67 mmHg(1 mmHg=0.133
1 case data patient 1, female, 58 years old, because of “repeated chest tightness, shortness of breath 4 years, chest pain 5d ” on June 8, 2016 admission. Patients at 9:00 on June 3, 2016 no obvious incentive burst heart area pain, was burning like the size of the palm of your hand, to the left upper limbs, neck, back radiation, with nausea and vomiting, no heart palpitations, dark hazy , Fainting, urgent delivery to Yiyang County People’s Hospital for treatment, given “control blood pressure, dilation of coronary artery ” (specific unknown) and other treatment of pain relief, pain during a total of 1h or so. June 8, 2016 at 4:30 to get up “relieve the stool ” after the onset of chest pain, the scope of the pain, nature, the extent of the same as before, the pain sustained can not be alleviated. Then to the Second Affiliated Hospital of Nanchang University, medical examination: heart rate 68 beats / min, blood pressure 138/67 mmHg (1 mmHg = 0.133