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男,56岁。因心前区不适三天,持续性心绞痛伴冷汗三小时于1987年5月6日8时入院。既往有冠心病史。此次发作后自服活心丹及吸入硝酸异戊酯无效,经注射杜冷丁后疼痛缓解。查体:体温36.8℃。脉搏68次/分,呼吸18次/分,血压104/70毫米汞柱。痛苦表情,面色苍白,心律规整,心瓣膜无杂音,肺呼吸音正常。心电图检查:avL导联R波呈QS型,Ⅱ、Ⅲ、avF导联R波降支有缺口(咬痕),Ⅰ导联ST段下移0.1mv,avL导联T波倒置,
Male, 56 years old. Due to precordial discomfort for three days, persistent angina with cold sweat three hours at 8:00 on May 6, 1987 admitted. Past history of coronary heart disease. After the episode self-serving live heart Dan and inhalation of isoamyl nitrate ineffective, after injection of dolantin pain relief. Physical examination: body temperature 36.8 ℃. Pulse 68 beats / min, breathing 18 beats / min, blood pressure 104/70 mm Hg. Painful expression, pale, regular heart rhythm, heart valve no noise, pulmonary breath sounds normal. ECG: avL lead R wave was QS type, Ⅱ, Ⅲ, avF lead R wave descending branch has a notch (bite marks), Ⅰ lead ST segment down 0.1mv, avL lead T wave inversion,