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患者,男性,65岁。因夜间突然剧烈腰痛伴胸闷、气短、上腹胀满入院。查心率76次/min,律齐,上肺细湿罗音。ECG 示窦律,电轴轻度左偏,急性下壁、正后壁心肌梗塞。CK259U/L。病程中曾出现频发室性早搏。按急性心肌梗塞及抗心律失常治疗4周后临床症状消失、心电图为心肌梗塞恢复期改变。在常规治疗同时辅以体外反搏(ECP)治疗,1次/日、每次1小时,加正压0.4kg/cm~2。首次反搏后出现轻度胸闷,第二次反搏约半小时出现心前疼痛、胸闷、气短、大汗、心律不规整,
Patient, male, 65 years old. Due to sudden severe night back pain with chest tightness, shortness of breath, abdominal fullness admitted. Check the heart rate 76 times / min, law Qi, the lungs wet rales. ECG showed sinus rhythm, axial mild left partial, acute inferior wall, posterior wall myocardial infarction. CK259U / L. During the course of frequent premature ventricular contractions have occurred. According to acute myocardial infarction and anti-arrhythmia treatment for 4 weeks after the disappearance of clinical symptoms, ECG recovery of myocardial infarction change. In the conventional treatment supplemented by external counterpulsation (ECP) treatment, 1 times / day, each time for 1 hour, plus positive pressure 0.4kg / cm ~ 2. After the first counterpulsation mild chest tightness, the second counterpulsation occurred about half an hour before heart pain, chest tightness, shortness of breath, sweating, irregular heart rhythm,