论文部分内容阅读
患者,女,39岁。病人因心前区剧痛6小时不能忍受伴大汗于1991年12月27日住院。入院时病人面色苍白、大汗、口唇发绀,颈静脉不怒张。BP13/10.6kPa、P96次/分,R24次/分。心音低钝、心律齐,心率96次/分。肺内无罗音,心电图示:胸前导联V_1—V_4ST段弓背抬高,T波直立高耸,故诊断变异型心绞痛、前壁心肌梗塞超急期?立即行心电监护、吸氧、杜冷丁50mg肌注,静脉滴注极化液,蛇毒抗栓酶3号0.5u加入5%葡萄糖500ml中持续缓慢滴注(每分钟30滴)、心痛定10mg每日三次口服、阿斯匹林0.3每日一次口服,经上述处理后病人心绞痛症状逐渐消失,4小时后
Patient, female, 39 years old. Patient was unable to endure acute pain in her anterior region for 6 hours and was admitted to hospital on December 27, 1991. Patient was pale, sweaty, with cyanotic lips and jugular vein at admission. BP13 / 10.6kPa, P96 beats / min, R24 beats / min. Low heart sound blunt, heart rate Qi, heart rate 96 beats / min. No rales in the lungs, ECG shows: chest lead V_1-V_4ST segment arch dorsiflexion, T wave upright tall, so the diagnosis of variant angina pectoris, anterior myocardial infarction ultra-emergency? Immediately ECG, oxygen, Dolantin 50mg intramuscular injection, intravenous infusion of polar liquid, snake venom antithrombin No. 3 0.5u added 5% glucose 500ml sustained slow infusion (30 drops per minute), nifedipine 10mg orally three times daily, aspirin 0.3 once daily oral administration, after the above-mentioned treatment of patients with angina gradually disappeared, 4 hours later