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患者男,50岁,主因突然胸闷、憋气、心前区剧痛伴大汗半小时入院。患者于半小时前饮白酒约一两,突然胸闷、憋气、心前区压榨样剧痛,濒死感,大汗伴头晕、恶心。自服硝酸甘油0.6mg无效,急入我院。既往有高血压病史10余年,平时BP(160～180)/(100～110)mmHg,胃大部切除术后8年。查体:BP 80/50mmHg,P 70次/分,周身冷汗淋漓,四肢发冷,表情淡漠,口唇紫绀,双肺呼吸音粗,心音低钝,心律齐,未闻及病理性杂音。ECG:Ⅰ、avL、V_(1～6)导联ST段抬高,T波高尖,Ⅱ、Ⅲ、avF导联ST段下移,诊断急性广泛前壁心
Male patient, 50 years old, mainly due to sudden chest tightness, suffocation, precordial pain accompanied by sweat half an hour admitted. Patients drink alcohol about half an hour before about one or two, suddenly chest tightness, suffocation, precordial pressure sample pain, sense of nearness, sweating with dizziness, nausea. Own service nitroglycerin 0.6mg invalid, urgently into our hospital. Past history of hypertension more than 10 years, usually BP (160 ~ 180) / (100 ~ 110) mmHg, subtotal gastrectomy after 8 years. Physical examination: BP 80 / 50mmHg, P 70 beats / min, whole body cold and sweat dripping, limbs cold, apathetic facial expression, cyanosis of the lips, lung breath sounds rough, low heart sound blunted, rhythm Qi, no smell and pathological murmur. ECG: Ⅰ, avL, V_ (1 ~ 6) lead ST segment elevation, T wave tip, Ⅱ, Ⅲ, avF lead ST segment down, the diagnosis of acute wide anterior heart