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1临床资料患者女,58岁,胸闷18h、乏力8h于2013年4月4日16时入院。门诊行心电图检查提示窦性心律,II、III、aVF导联ST段抬高0.15~0.3mV,III导联病理性Q波:急性下壁心肌梗死,急诊给予拜阿司匹林肠溶片300mg、氯吡咯雷片300mg、阿托伐他汀10mg、美托洛尔片25mg口服、低分子肝素钠5000U皮下注射抗凝、等处理后收入我科住院治疗。心电图提示窦性心律,II、III、aVF导联ST段抬高0.1~0.15mV,III导联呈病理性Q波,V7~V9、RV4~V5导联ST段抬高0.05mV。肌钙蛋白>16ng/ml。
A clinical data of female patients, 58 years old, chest tightness 18h, 8h at 4:00 on April 4, 2013 admitted to hospital. Outpatient ECG ECG tips sinus rhythm, ST segment elevation of II, III, aVF lead 0.15 ~ 0.3mV, III lead pathological Q wave: acute inferior myocardial infarction, emergency administration of aspirin enteric-coated tablets 300mg, chloropyrrole Ray tablets 300mg, atorvastatin 10mg, metoprolol tablets 25mg orally, low molecular weight heparin 5000U subcutaneous injection of anticoagulation, and other income after treatment we hospitalized. ECG showed sinus rhythm, ST segment elevation of II, III, aVF lead 0.1 ~ 0.15mV, III lead was pathological Q wave, V7 ~ V9, RV4 ~ V5 lead ST segment elevation of 0.05mV. Troponin> 16ng / ml.