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例1,女,58岁,农民,主因左耳垂痛1天,伴气短,大汗2小时就诊。病后曾自服去痛片耳痛无减轻。既往体健。查体:T35.6℃,P98次/分,R26次/分,Bp11/7kPa,急性痛苦面容,大汗,口唇发绀,颈静脉怒张,肺底可闻小水泡音,心率98次/分,律不整,可闻早搏,肝肋下2cm,肝颈静脉逆流征阳性,下肢轻度指凹性水肿。心电图:窦性心律.Ⅱ、Ⅲ、aVF ST抬高0.3mV,有Q波,V_3R～V_5呈Qr型,ST抬高
Example 1, female, 58 years old, farmer, the main left ear pain for 1 day, with shortness of breath, sweating 2 hours treatment. After the illness had to relieve pain echocardiography. Past physical health. Physical examination: T35.6 ℃, P98 beats / min, R26 beats / min, Bp11 / 7kPa, acute painful face, sweating, cyanotic lips, jugular vein engorgement, , Irregular law, can be heard premature beats, liver ribs 2cm, positive retrograde liver jugular vein, lower extremity mild concave edema. ECG: sinus rhythm.Ⅱ, Ⅲ, aVF ST elevation 0.3mV, Q waves, V_3R ~ V_5 was Qr type, ST elevation