论文部分内容阅读
吕某某,男,60岁。患“高血压病”10年,“冠心病、心绞痛”2年。因卧位时心前区疼痛三天入院。体检:BP19.6/14kpa,心率100次/分,律整,S1减弱,主动脉瓣区可闻及叹气样杂音。心电图:窦性心律、冠脉供血不足。诊断:冠心病、不稳定型心绞痛、心功能Ⅰ级,高血压病Ⅱ期,老年主动脉瓣退行性变。入院后予以常规三联抗心绞痛药物冶疗三天,疼痛缓解不明显,遂以硝酸甘油20μg/分静脉滴注。给药前BP15/10.6kpa,15分钟后血压开始上升20/11.8kpa,加量至50μg—60μg/分,20分钟血压继续上
Lv Moumou, male, 60 years old. Suffering from “hypertension” for 10 years, “coronary heart disease, angina” for 2 years. Due to lying in front of pain three days admission. Physical examination: BP19.6 / 14kpa, heart rate 100 beats / min, law, S1 weakened, the aortic valve area can smell and sigh-like noise. ECG: sinus rhythm, coronary insufficiency. Diagnosis: Coronary heart disease, unstable angina pectoris, grade I heart disease, hypertension stage II, senile aortic valve degeneration. After admission to conventional triple anti-anginal drug treatment for three days, the pain relief is not obvious, then nitroglycerin 20μg / min intravenous infusion. BP15 / 10.6kpa before administration, after 15 minutes blood pressure began to rise 20 / 11.8kpa, dosage to 50μg-60μg / min, 20 minutes blood pressure continued