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例1,男性,工人,42岁。在车间劳动中发作左下肢疼,休息时疼痛减轻或消失,疼痛严重时伴胸闷、心悸(半年前曾有类似病情发生,因不严重未求医)。此次发作约2.5小时,外科门诊诊断为左侧坐骨神经痛。因有心律不齐转内科门诊,查心电图除有频发性室性早搏外,无其它异常变化.住急诊室观察。当夜12时许突然死亡.次日上午做尸解,发现左冠状动脉Ⅱ级狭窄,前降枝有新鲜血栓堵塞,该枝供血区心肌呈缺血坏死样改变.脑、肝、脾、肺、肾、胰脏均未见病理异常变化。
Example 1, male, worker, 42 years old. Work in the workshop labor left lower extremity pain, rest or relieve pain disappeared, severe pain with chest tightness, palpitations (six months ago had a similar condition, not serious because no doctor). The attack was about 2.5 hours and the surgical clinic was diagnosed with left sciatica. Due to arrhythmia turn to medical clinic, check the ECG in addition to frequent ventricular premature beats, no other abnormal changes. Live emergency room observation. Sudden death of the night at 12 o’clock the next morning to do the autopsy and found that the left coronary artery grade Ⅱ stenosis, No abnormal changes of pathology were found in kidney and pancreas.