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病例报告:患者男性,68岁,突发严重呼吸困难、胸紧压感、头晕、呕吐、发绀、出汗,体温36.2℃,脉搏85次,收缩血压60mmHg(8.0kPa),双肺可闻细微捻发音,胸部x线示肺水肿,心电图示窦性心律及ST段压低,动脉血气分析:氧分压(Po_2)6.7 kPa、二氧化碳分压(Pco_2)3.5kPa,PH为7.33。以“心肌梗塞”入院治疗。考虑纤溶治疗,但超声心动图示血容量减少及左室挛缩征象,故开始用白蛋白和盐水治疗,中心静脉压从7升至12cm水柱,血细胞比容从0.59降至0.47,血压在90min内恢复正常范围。数天后,心电图恢复正常,血清肌酸磷酸激酶浓度正常,但反而出现
Case Report: Male, 68 years old with sudden severe respiratory distress, chest tightness, dizziness, vomiting, cyanosis, sweating, body temperature 36.2 ℃, pulse 85, systolic blood pressure 60mmHg (8.0kPa) Pulmonary edema, chest x-ray showed pulmonary edema, sinus rhythm and ST segment depression, arterial blood gas analysis: partial pressure of oxygen (Po_2) 6.7 kPa, partial pressure of carbon dioxide (Pco_2) 3.5kPa, PH 7.33. To “myocardial infarction” admission treatment. Consider fibrinolytic therapy, but echocardiography showed decreased blood volume and left ventricular contracture signs, it began with albumin and saline treatment, central venous pressure from 7 liters to 12cm water column, hematocrit decreased from 0.59 to 0.47, blood pressure at 90min Within the normal range. A few days later, ECG returned to normal, serum creatine kinase concentration normal, but instead appeared