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在以往的冠心病专著或教科书中,均未把头痛与冠心病联系起来。因此,当病人诉说头痛时,一般想不到是由冠心病引起的。但以下这位病人给我们敲响了警钟。 病人男性,50岁。平素身体健康,近一个月曾几次来门诊看头痛。他的头痛很怪,一般都在劳动时发生,休息3—5分钟就好了,每次来诊均按神经性头痛处理。这次又来查体未发现异常,在楼上楼下往返的活动中突然感到剧烈头痛、头昏,眼前冒火星,紧接着出现烦躁不安、面色苍白、全身大汗、脉搏细速、四肢凉,急查心电图显示为“急性广泛性前壁心肌梗塞”;经积
In the past coronary heart disease monographs or textbooks, have not associated headache and coronary heart disease. Therefore, when a patient complains of headache, the general idea is that coronary heart disease is the cause. But the following patient sounded the alarm for us. Male patient, 50 years old. Usually healthy, nearly a month to the clinic a few times to see the headache. His headache is very strange, usually occurs when working, rest for 3-5 minutes, every treatment by neurological headaches. This time again to check the body found no abnormalities, downstairs and downstairs activities suddenly felt a severe headache, dizziness, the front of Mars, followed by irritability, pale, sweating, pulse speed, cold extremities , Emergency ECG showed “acute extensive anterior myocardial infarction”; by plot