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例 1 男 ,43岁。因无明显诱因突然出现心前区剧烈疼痛伴出汗、气促、乏力 2 h入院。既往无心肺疾病史。在院外做心电图 ( ECG)提示 V1~ 4 ST段近似弓背样上抬 0 .1~ 0 .2 m V,急救中心给予肌注度冷丁 50 mg后 ,疼痛略缓解 ,拟诊急性前间壁心肌梗死。入院后体检 :急性痛苦?
Example 1 Male, 43 years old. Because there is no obvious incentive to sudden severe pain in precordial area with sweating, shortness of breath, fatigue 2 h admission. Past history of heart and lung disease. In the hospital to do electrocardiogram (ECG) tips V1 ~ 4 ST segment approximately bow back like lift 0.1 ~ 0.2 mV, the emergency center to give intramuscular injection of cold Ding 50 mg, the pain slightly relieved, the diagnosis of acute anterior myocardial wall muscle Infarct. Physical examination after admission: Acute pain?