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临床及心电图资料患者男性,72岁,因“突发胸痛6h”拟诊为急性心肌梗死急诊入院。患者于6h前在无明显诱因情况下出现心前区压窄性疼痛并放射至左肩背部。体检:T 36.3℃,P 87bpm,R 20bpm,BP 97/51mmH g,神志尚清,痛苦病容,两肺呼吸音清晰,未闻及干、湿性啰音,律齐,未闻及病理性杂音。实验室检查:(谷草转氨酶:1210IU/L,肌酸激酶同工酶:694 IU/L,肌酸激酶:10379IU/L,乳酸脱氢酶:7842 IU/L。超敏肌钙蛋白I定量:>80ug/L。
Clinical and electrocardiographic data of patients male, 72 years old, due to “sudden chest pain 6h ” to be diagnosed as acute myocardial infarction emergency admission. Patient developed pressure-limiting anterior pachymeria 6h without any significant predisposition and was irradiated to the back of the left shoulder. Physical examination: T 36.3 ℃, P 87bpm, R 20bpm, BP 97 / 51mmHg, clear mind, painful disease, both lungs breath sounds clear, unheard of and dry, wet rales, law Qi, no smell and pathological murmur. Laboratory tests: (aspartate aminotransferase: 1210 IU / L, creatine kinase isoenzyme: 694 IU / L, creatine kinase: 10379IU / L, lactate dehydrogenase: 7842 IU / L. Quantitative supernatant troponin I: > 80ug / L.