论文部分内容阅读
患者男、72岁,以“发作性胸痛20年,加重2天伴短暂意识丧失6h”入院。患者2011年5月冠脉造影显示:右冠脉中段30%～50%弥漫性狭窄,前降支第1对角支开口处闭塞,开口后80%～95%狭窄,行球囊扩张,植入Partner支架1枚,给予常规药物治疗,病情稳定后出院。2天前,患者无明显诱因出现胸闷、胸痛,持续约15～20min后缓解,6h前再次发作伴四肢抽搐、意识丧失,急诊入院。否认高血压、糖尿病史。查体
Male patient, 72 years old, with “episodic chest pain for 20 years, exacerbated for 2 days with brief loss of consciousness 6h ” admitted. Patients in May 2011 coronary angiography showed that: the middle of the right coronary artery 30% to 50% of diffuse stenosis, anterior descending branch of the first diagonal branch of the occlusion, opening 80% to 95% of the stenosis, line balloon dilatation Into the Partner stent 1, given conventional drug treatment, stable condition after discharge. 2 days ago, patients with no obvious incentive chest tightness, chest pain, sustained about 15 ~ 20min after remission, re-attack with limbs before 6h convulsions, loss of consciousness, emergency admission. Denied high blood pressure, diabetes history. Physical examination