论文部分内容阅读
心源性疼痛的放射部位众所周知。但在胸痛时合并有单或双侧下肢疼痛者较少见,笔者遇到两例,报告如下。李某,男,62岁,5年前因头痛头晕、恶心就诊,血压200/140mmHg,经降压治疗,血压波动在180～160/110～100mmHg。1987年3月11日晚11时30分卧床休息后,突然胸闷,心前区压榨样疼痛,在放射性左臂疼痛同时,伴左下肢困痛,由大腿前侧向趾端延伸,端坐呼吸,遂乘车急诊。测血压100/60mmHg,心率74次/分,律不齐,心音低钝,主动脉瓣
The radiation site of cardiac pain is well known. However, when chest pain with single or bilateral lower extremity pain were rare, I encountered two cases, the report is as follows. Lee, male, 62 years old, 5 years ago because of headache dizziness, nausea treatment, blood pressure 200 / 140mmHg, by antihypertensive treatment, blood pressure fluctuations in the 180 ~ 160/110 ~ 100mmHg. At 11:30 on the evening of March 11, 1987 at bed rest, a sudden chest tightness, precordial press-like pain in the radioactive left arm pain at the same time, accompanied by left leg pain, by the front thigh toe extension, sit and breathe , Then emergency car. Blood pressure 100 / 60mmHg, heart rate 74 beats / min, irregular, heart sound low blunt, aortic valve