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患者,女,58岁。于84年6月中旬起,常感心悸,胸闷,心前区压榨感。每天持续约10～30分钟,与劳累无关。既往心电图正常,无高血压、心脏病病史。6月22日胸痛发作中心电图示:STavL较旧图稍呈水平样抬高(<0.5mm),同时伴有血压升高,(190/100mmHg),心率加快(100次/分)。经用利血平、乳酸,心可定等药物,18分钟后心电图恢复正常。随后的一个月内有数次发作,多伴有血压升高,心率加快。诱因多为情绪激动。试用心得安口服,治疗期间,病人胸痛次数有所减少。7月24日1020/pm又复感胸痛,自服硝酸甘油片6mg,心得安片10mg,消心痛10mg,未缓解。
Patient, female, 58 years old. In mid-June 84, often feel palpitations, chest tightness, precautionary feeling. Every day for about 10 to 30 minutes, has nothing to do with fatigue. Previous normal ECG, no high blood pressure, history of heart disease. June 22 Chest pain episode ECG: STavL was slightly elevated (<0.5mm) compared with the older figure, accompanied by an increase in blood pressure (190 / 100mmHg) and an increase in heart rate (100 beats / min). After the use of reserpine, lactic acid, heart can be set and other drugs, 18 minutes after ECG returned to normal. Subsequent within a month there were several episodes, accompanied by increased blood pressure, heart rate. Most incentives for emotional. Trial peace of mind oral, during treatment, the number of patients with chest pain decreased. July 24 1020 / pm recurrent chest pain, self-service nitroglycerin tablets 6mg, An An tablets 10mg, anti-heartache 10mg, did not ease.