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病历摘要 患者,男,73岁,已婚,安徽人,退休职工。住院号135629。1978年3月20日7时急诊入院。主诉胸闷,左前胸痛30余小时。 患者近一周来纳差,中上腹胀,于3月18日24时症状加重,并出现胸闷,左前胸痛,向两肩及背部放射,疼痛呈缩窄样。19日清晨2时来本院急诊。心电图检查示窦性心律,心房率、心室率均68次/分,P-R间期:0.14～0.16秒,QRS波时限:0.07秒,各联P波无异常,Ⅰ,Ⅲ导联QRS波呈qRs型,S-T段无明显异常,V_2、V_3导联T波等尖(图1上)。拟诊为“胃炎”,给普鲁苯辛、食母生等药返家。服药后,
Patient summary, male, 73 years old, married, Anhui, retired staff. Hospital number 135629. At 7 o’clock on the March 20, 1978 emergency room admission. Chief complaint chest tightness, left anterior chest pain more than 30 hours. Patients with anorexia in the past week, abdominal distension, at 24 o’clock on the March 18 symptoms increased, and chest tightness, left anterior chest pain, radiation to the shoulders and back, the pain was narrowed. At 2 o’clock in the morning on the 19th to our hospital emergency room. Electrocardiogram showed sinus rhythm, atrial rate, ventricular rate were 68 beats / min, PR interval 0.14 ~ 0.16 seconds, QRS wave time limit: 0.07 seconds, each P wave was normal, Ⅰ, Ⅲ lead QRS wave was qRs Type, ST segment no significant abnormalities, V_2, V_3 lead T wave tip (Figure 1). To be diagnosed as “gastritis”, to Prussian Xin, food mother and other drugs to return home. After taking medicine,