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患者男,35岁,因突然出现持续心前区疼痛,向左肩背部及左前臂放射,伴大汗,胸闷,无发热,无意识障碍,无恶心和呕吐,休息后不缓解。病人有吸烟、饮酒史,无高血压、冠心病、糖尿病及药物过敏史。查体BP130/80mmHg,双侧瞳孔等大等圆,双肺呼吸音清,心率84次/min,律齐,心音有力,腹软,肝脾肋下未及。做心电图示V_1-V_2导联,ST段抬高>0.2mV,肌钙蛋白Ⅰ(Tnl)可疑阳性,血清肌酸激酶(CK)和血清肌酸激酶MB同功酶(CK—MB)明显升高。以“冠
Male, 35 years old, with persistent chest anorexia and sudden radiation to his left shoulder and left forearm with sweat, chest tightness, no fever, unconsciousness, nausea and vomiting, and no rest after rest. The patient has a history of smoking, drinking history, no hypertension, coronary heart disease, diabetes and drug allergy. Physical examination BP130 / 80mmHg, bilateral pupil and other large round, lung breath sounds clear, heart rate 84 beats / min, law Qi, heart sound powerful, abdominal soft, liver and spleen ribs under. ECG lead V_1-V_2, ST segment elevation> 0.2mV, troponin Ⅰ (Tnl) suspicious positive serum creatine kinase (CK) and serum creatine kinase MB isozyme (CK-MB) was significantly increased high. With "crown