论文部分内容阅读
患者男性,46岁,自1977年以来,常有阵发性心慌伴头痛、面色苍白,大汗等,2—3分钟后自行缓解,曾作心电图检查,结果正常。此次于1981年7月14日因负重上楼又突然发作,除上述症状外并有胸骨后疼痛,时轻时剧持续2个多小时,伴恶心、大汗淋漓等来院就诊。当时BP80—90/70,HR90次/分,律齐。急查心电图(附图第1行),诊断为急性前壁心肌梗塞、下壁心肌梗塞待排,收住入院。入院检查,酶谱正常,超声心动图正常。两天后
Male, 46 years old, since 1977, often have paroxysmal palpitation with headache, pale, sweating, etc., after 2-3 minutes to ease themselves, had ECG, the result was normal. The July 14, 1981 due to load and upstairs and sudden onset, in addition to the above symptoms and have a pain in the chest, the light when the drama lasted more than 2 hours, with nausea, sweating and other hospital visits. At that time BP80-90 / 70, HR90 times / min, law Qi. Emergency ECG (line 1), diagnosed with acute anterior myocardial infarction, inferior myocardial infarction to be discharged, admitted to hospital. Admission examination, normal zymogram, echocardiography normal. Two days later