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患者女,68岁。因血压增高10~+年,胸骨后压榨样疼痛1天,于1985年7月10日入院。病前6天曾昏厥1次,约1～2分钟。有原发性高血压和冠心病史。体查:体温37.4℃,心率46次/分,呼吸20次/分,血压210/100mmHg。心律不齐,可闻漏跳12～14次/分。实验室检查:心电图示完全性左束支阻滞,Ⅱ°Ⅱ型房室传导阻滞,频发室性期前收缩;周围血象:白细胞总数11800/mm~3,中性78%,淋巴细胞20%,单核细胞2%;血气分析:低氧血症,呼硷末代偿;血清酶学检查:CPK85Iu/L,CPK—MB7.5Iu/L,LDH 580单
Female patient, 68 years old. Due to increased blood pressure 10 ~ + years, sternum press-like pain for 1 day, on July 10, 1985 admission. 6 days before sickness fainting 1, about 1 to 2 minutes. Have a history of primary hypertension and coronary heart disease. Physical examination: body temperature 37.4 ℃, heart rate 46 beats / min, breathing 20 beats / min, blood pressure 210 / 100mmHg. Arrhythmia, can smell leak skip 12 ~ 14 times / min. Laboratory tests: ECG complete left bundle branch block, Ⅱ ° Ⅱ atrioventricular block, frequent ventricular contraction; peripheral blood: the total number of leukocytes 11800 / mm ~ 3, 78% neutral, lymphocytes 20%, monocytes 2%; blood gas analysis: hypoxemia, end-toning compensation; serum enzyme examination: CPK85Iu / L, CPK-MB7.5Iu / L, LDH 580 single