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患者女,66岁,因心前区不适伴头痛、呕吐半小时于我院心内科就诊。查体:体温36.5℃,脉搏76次/分,呼吸18次/分,血压130/80mmHg,意识清楚,双肺呼吸音清,未闻及干湿罗音,心率76次/分,律齐无杂音。心电图示Ⅱ、Ⅲ、aVF导联ST段抬高,V2~V4ST段压低(图1A);心肌损伤标记物(发病
Female patient, 66 years old, because of precordial discomfort with headache, vomiting half an hour in our hospital cardiology. Physical examination: body temperature 36.5 ℃, pulse 76 beats / min, breathing 18 beats / min, blood pressure 130 / 80mmHg, conscious, lung breath sounds clear, no smell and wet and dry rales, heart rate 76 beats / min, Noise. ECG showed Ⅱ, Ⅲ, aVF lead ST segment elevation, V2 ~ V4ST segment depression (Figure 1A); myocardial injury markers (incidence