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患者男性,65岁。曾患冠心病、陈旧性下壁心肌梗塞、慢性支气管炎。住院前1周时感心前区闷痛向左肩放射,伴咳嗽、咯痰,以冠心病、陈旧性下壁心肌梗塞、不稳定心绞痛、肺部感染收住我科。查体:心界向左稍大,心率90次/分、律齐、心尖部Ⅱ级收缩期吹风样杂音,左肺底少量湿啰音。心电图示:陈旧性下壁心肌梗塞,T_Ⅱ、Ⅲ、aVF波浅倒置。入院后用正规抗感染及服用长效心痛治、硫氮(艹卓)酮、肠溶阿斯匹林(0.325g)治疗,疗效差,于入院第3周给予肝素(6250U/次,每8小时一次)皮下注射抗凝治疗,连用7天,第8天因症状缓解,心电图未见新的ST-T
Male patient, 65 years old. Had coronary heart disease, old inferior myocardial infarction, chronic bronchitis. Pre-hospital 1 week before the feeling of pain in front of the area boring pain to the left shoulder radiation, with cough, expectoration, coronary heart disease, old inferior myocardial infarction, unstable angina, pulmonary infection admitted to our department. Physical examination: the heart to the left slightly larger, heart rate 90 beats / min, law Qi, apical Ⅱ stage systolic hair-like murmur, a small amount of wet end of the left lung sound. ECG shows: the old inferior myocardial infarction, T_ Ⅱ, Ⅲ, aVF shallow wave inversion. After admission with regular anti-infection and taking long-acting heartache treatment, sulfur nitrogen (艹 Zhuo) ketone, enteric-coated aspirin (0.325g) treatment, poor efficacy in the third week of admission to give heparin (6250U / time, Hour once) subcutaneous anticoagulant therapy, once every 7 days, the first 8 days due to symptoms, ECG no new ST-T