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患者,男性,69岁,因胸骨后剧痛伴大汗、恶心5小时入院。体检:血压20.0/12.0kPa(150/90mmHg)。两肺清晰。心左界稍大,心率72次/分,律齐,A_2>P_2,未闻及病理性杂音。腹部无异常。ECG示急性下、后壁心肌梗塞。SGOT 165U,LDH 1414U,LDH_188%。入院后按急性心肌梗塞治疗,症状迅速缓解。3月27日复查ECG示窦率64次/分,呈室早二联律。遂服胺碘达隆(乙胺碘呋酮)0.6g/日,至第8天,总量为4.8g时再查ECG,示窦率51次/分,室早消失,呈间歇性A型预激综合征。减服胺碘达隆0.2/日,次
The patient, male, was 69 years old and was admitted to hospital for 5 hours after severe pain due to sternum pain. Physical examination: blood pressure 20.0 / 12.0kPa (150 / 90mmHg). Both lungs clear. Heart left slightly larger heart rate 72 beats / min, law Qi, A_2> P_2, no smell and pathological murmur. No abnormal abdomen. ECG showed acute, posterior myocardial infarction. SGOT 165U, LDH 1414U, LDH_188%. After admission by acute myocardial infarction, the symptoms quickly ease. March 27 review ECG sinus sinus rate 64 beats / min, was room early diathesis. Then take amine iodine daluride (amiodarone) 0.6g / day, to the first 8 days, the total amount of 4.8g and then check the ECG, showed sinus rate 51 beats / min, early disappearance of room, was intermittent type A Wolff-Parkinson’s syndrome. Reduced amiodarone 0.2 / day, times