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我院近2年收治老年心脑卒中5例,现报告如下。例1,患者,男,60岁。因阵发性心前区闷痛,憋气10小时入院。冠心病史5年。查体:血压16/11.3kPa,余无阳性体征,血沉35mm/h。心电图(ECG):急性前间壁心肌梗塞。临床诊断:急性心肌梗塞(AMI)。按心肌梗塞常规治疗,密切观察病情,于住院次日凌晨突然出现左半身瘫痪,口角歪斜,语言不清,经腰穿后诊断:脑血栓。加用脱水和抗凝血药物,住院60天,好转出院。
Our hospital nearly 2 years admitted elderly heart stroke in 5 cases, are as follows. Example 1, patient, male, 60 years old. Due to paroxysmal anorexia boring pain, suffocation 10 hours admitted. Coronary heart disease history of 5 years. Physical examination: blood pressure 16 / 11.3kPa, I no positive signs, erythrocyte sedimentation rate 35mm / h. Electrocardiogram (ECG): acute anterior myocardial infarction. Clinical diagnosis: acute myocardial infarction (AMI). According to the conventional treatment of myocardial infarction, close observation of the condition, sudden paralysis of the left half of the hospital in the early morning of the next day, mouth skew, language is not clear, the diagnosis of lumbar puncture: cerebral thrombosis. Add dehydration and anticoagulant drugs, hospital 60 days, improved discharged.