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例1:男,34岁,司机。1975年患左下肢血栓闭塞性脉管炎。79年病处发生干性坏死行左下肢(?)截肢术。并致足背溃疡经久不愈,同年12月5日住外科准备手术,两天后在肢体剧痛时突感胸闷胸痛,测血压110/80mmHg,心尖部闻及舒张期奔马律。含化硝酸甘油片0.6mg无效,又分别肌注杜冷丁100mg、安定10mg、安痛定4ml,症状减轻。查心电图示V_1—V_3呈QS波,ST段抬高与T融合成单项曲线,诊为急性前间壁心肌梗塞转入内科监护室抢救7天无效,又转入外科截肢。术后8天胸闷胸痛消失,心电图ST段降到等电位线,GOT由150单位降至正常,住院8周治愈出院。
Example 1: Male, 34 years old, driver. 1975 suffering from left lower extremity thromboangiitis obliterans. 79 cases of dry necrosis of the left leg (?) Amputation. And cause foot dorsal ulcer prolonged unhealed, December 5 the same year to live in surgical preparation for surgery, two days after the pain suddenly felt chest pain, chest pain, blood pressure 110 / 80mmHg, apex of the Ministry and diastolic gallop. Inclusion of nitroglycerin tablets 0.6mg invalid, respectively, intramuscular injection of pethidine 100mg, stability and 10mg, Antongding 4ml, reduce the symptoms. Check the ECG showed V_1-V_3 was QS wave, ST elevation and T merged into a single curve, diagnosed with acute anterior myocardial infarction transferred to the Internal Medicine Department of emergency rescue 7 days invalid, and transferred to surgical amputation. Eight days after chest pain and chest pain disappeared, ST segment electrocardiogram dropped to the equipotential line, GOT by 150 units down to normal, hospitalized 8 weeks cured.