论文部分内容阅读
患者,男38岁,体胖,体重91kg,因自觉胸闷,活动后气短,于1990—07—04来院就诊.血压17.33/12kPa.心电图表现T 波低平,临床印诊为冠心病无痛性心肌缺血.嘱次日住院治疗.7月5日晨7点半来院准备住院时,突然前胸及背部疼痛,同时呼吸困难,并逐渐加重.面色苍白,大汗,血压下降到8.0/5.33kPa,处于休克状态.心电图表现 T 波明显.诊断急性前壁心肌梗塞并休克.T 波升高系因心肌急性损伤后心肌细胞释出大量钾离子引起.当即应用多巴胺抗休克,度冷丁镇痛吸氧
Patients, male 38 years old, body fat, weight 91kg, due to conscious chest tightness, shortness of breath after the event, to hospital for treatment in 1990-07-04. Blood pressure 17.33 / 12kPa. ECG showed low T wave, clinical diagnosis of coronary heart disease painless Myocardial ischemia .He was hospitalized the next day.At 7:30 on the morning of July 5 to hospital preparation for hospitalization, suddenly chest and back pain, at the same time breathing difficulties, and gradually aggravate pale, sweating, blood pressure dropped to 8.0 / 5.33 kPa, in shock state. ECG showed T wave was significantly diagnosed acute anterior myocardial infarction and shock .T wave increased due to acute myocardial injury caused by myocardial cells release a large number of potassium ions immediately after the application of dopamine anti-shock, Oxygen