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患者吕××,男性,62岁,1984年11月22日因急性前壁心肌梗塞入院。检查:BP104/76.心尖搏动稍弥散,心浊音界不扩大,心率100,律齐。心尖部S_1减弱,闻及S_4及1/Ⅵ收缩期杂音。肺底部有湿罗音。腹软,肝肋下1cm、质偏中,肝颈反流征阴性,脾未及。下肢无浮肿。11月17日与22日血清CPK分别为507.7u和142.8u。心电图显示前壁心肌梗塞急性期,合并左前分支阻滞。12月6日12时9分,患者突然低声叫喊、表情恐惧、颜面灰白,口唇紫绀,额部多汗。继而眼球上翻,全身抽
Patients LV × ×, male, 62 years old, November 22, 1984 due to acute anterior myocardial infarction admission. Check: BP104 / 76. Apical beating slightly diffuse heart diastolic sector does not expand, heart rate 100, law Qi. Apex S_1 weakened, smell S_4 and 1 / Ⅵ systolic murmur. The bottom of the lungs have wet rales. Abdomen soft, liver ribs 1cm, qualitative partial, liver reflux syndrome negative, spleen is not. Lower extremity without edema. Serum CPK on November 17 and 22 were 507.7u and 142.8u, respectively. ECG showed anterior myocardial infarction acute phase, combined with left anterior branch block. At 12:09 on December 6, the patient shouted in a sudden, scared expression, pale face, cyanotic lips, sweat on his forehead. Then eye up, body pumping