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患者男,59岁.因剑下持续性疼痛伴恶心、呕吐、胸闷、心悸2小时入院.疼痛呈持续性伴阵发性加剧,剧时如刀绞样,四肢厥冷、满头冷汗,伴恶心、呕吐1次,系晚餐胃内容物.疼痛同时伴有胸闷、心悸.EKG示窦性心动过缓(4B次/分)伴不齐,窦性停搏,交界性逸搏心律.予阿托品0.5mg即刻肌注及心痛定10mg舌下含服,15分钟后疼痛逐趋
Male, aged 59. Due to persistent sore sword with nausea, vomiting, chest tightness, palpitations 2 hours admission. Pain was persistent with paroxysmal exacerbations, such as knife when the play strangulation, extremities Jueleng, sweating, accompanied by headache Nausea, vomiting 1, Department of stomach content of dinner. Pain accompanied by chest tightness, palpitations .EKG showed sinus bradycardia (4B beats / min) with missing, sinus arrest, borderline escape rhythm. To atropine 0.5mg immediately intramuscular and nifedipine 10mg sublingual, 15 minutes after the pain by the trend