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第一次查房(12月3日) 住院医师:患者,男,43岁,因持续性胸痛6小时入院。入院前6小时病人与他人谈话时,突感胸骨后剧烈撕裂样疼,无放射,不伴出汗,立即步行去保健站,途中疼痛难忍,曾多次被迫停步,服用速效救心丸、吸入亚硝酸异戊酯后,似有轻微缓解,但胸痛仍持续,2小时后胸痛再次加重,无恶心及呕吐,故被急送入急诊室,作心电图大致正常,血压130/80mmHg,考虑急性心肌梗塞早期,立即吸氧、含化硝酸甘油、镇静之后收入监护室,既往无心绞痛史,有十二
First round of ward (December 3) Residency: Patient, male, 43 years old, admitted to hospital with persistent chest pain for 6 hours. Six hours before admission, when the patient talked with others, he suddenly felt a severe tear-like pain after the sternum. He had no radiation and no sweating. He immediately walked to the health station and was painful on his way. He was forced to stop for many times, Pills, inhalation of isoamyl nitrite, it seems a slight relief, but chest pain continued, chest pain aggravated again after 2 hours, no nausea and vomiting, it was urgently sent to the emergency room for ECG roughly normal, blood pressure 130 / 80mmHg, consider Early acute myocardial infarction, immediately oxygen, nitroglycerin-containing, sedated after income custody, past history without angina, there are twelve