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男患,28岁,工人。因阵发性头痛,憋气、心悸,上腹痛伴有出汗、恶心、呕吐15小时。于1990年12月12日入院。既往有阵发性心悸史3年,每次发作持续数分钟自行缓解。多由劳累、失眠、感冒而诱发。查体:T36℃、P180次/分,R30次/分Bp15/9kPa,神志清,唇微绀,颈(-),心率180次/分,心尖部闻及奔马律,肺底闻及湿(口罗)音,腹软,左上腹轻压痛,肝脾(-)。门诊ECG示室上性心动过速。入院后ECG示V_(1-3)QS波,ST段抬高。Hb 145g/L,W,BC14×10~9/L,N0.90,L0.1。入院诊断:急性心肌梗塞,急性
Male suffering, 28 years old, worker. Due to paroxysmal headache, suffocation, heart palpitations, abdominal pain accompanied by sweating, nausea, vomiting for 15 hours. On December 12, 1990 admitted. Past history of paroxysmal palpitations 3 years, each episode for several minutes to ease themselves. More by fatigue, insomnia, cold and induced. Examination: T36 ℃, P180 beats / min, R30 beats / min Bp15 / 9kPa, clear mind, lips cyanosis, neck (-), heart rate 180 beats / min, (Mouth Luo) sound, abdominal soft, light left upper quadrant tenderness, liver and spleen (-). Outpatient ECG showed supraventricular tachycardia. After admission ECG showed V_ (1-3) QS wave, ST elevation. Hb 145 g / L, W, BC14 × 10 ~ 9 / L, N0.90, L0.1. Admission diagnosis: acute myocardial infarction, acute