对慢型克山病合并冠心病急性心肌梗死1例分析如下。1病历摘要男,39岁。2008-04-12因心前区疼痛2 d,晕厥1次入院。既往:其兄年幼时曾死于克山病,尸检发现合并心肌梗死,抽烟20a,每日1包。入院查体:BP 90/60 mm Hg,一般情况稍差、颈静脉无怒张,双肺闻及湿口罗音,心界向左右明显扩 An analysis of 1 case of chronic Keshan disease complicated with coronary heart disease with acute myocardial infarction is as follows. 1 medical record summary male, 39 years old. 2008-04-12 Because of precordial pain 2 d, syncope 1 admission. Past: his brother died of Keshan disease in his childhood, autopsy found myocardial infarction, smoking 20a, 1 package a day. Admission examination: BP 90/60 mm Hg, the general situation is slightly worse, no jugular vein engorgement, lung smells wet mouth rales, heart significantly expanded to the left