论文部分内容阅读
1病例报告患者男,23岁。某部士兵。突发胸闷、胸痛不适8h,基层卫生队查心电图提示急性前间壁心肌梗死,为进一步治疗转入我院。患者有吸烟史5年,每天20支,高血压病史3年,有心血管疾病家族史。查体:体质量80kg,血压150/90mmHg,双肺无异常,心率85/min,未闻及心脏杂音。腹平软,肝脾肋下未触及,双下肢不肿。实验室检查示血三酰甘油偏高,肝肾功能、血糖、生化、凝血五项、血常规均正常。诊断为冠心病、急性前间壁心肌梗死。急诊行冠脉造影提示前降支近中段闭塞,植入支架1枚,术后给予活血化淤、营养心肌、扩冠、降压、抗凝、稳定斑块
1 case report patient male, 23 years old. A soldier. Sudden chest tightness, chest pain discomfort 8h, primary health team check ECG prompt acute anterior myocardial infarction, transferred to our hospital for further treatment. Patients have a history of smoking 5 years, 20 daily, a history of hypertension for 3 years, a family history of cardiovascular disease. Physical examination: body weight 80kg, blood pressure 150 / 90mmHg, no abnormal lungs, heart rate 85 / min, no smell and heart murmur. Abdomen soft, liver and spleen ribs untouched, double lower extremity is not swollen. Laboratory tests showed high blood triglyceride, liver and kidney function, blood glucose, biochemical, blood clotting five, blood were normal. Diagnosis of coronary heart disease, acute anterior myocardial infarction. Coronary angiography showed that the anterior descending artery was occluded in the middle of the emergency department, and one stent was implanted. After the operation, it was given blood stasis, nourishing the myocardium, expanding the crown, lowering blood pressure, anticoagulant and stable plaque