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1 临床资料患者李某,男,64岁。入院检查T36.5℃,P80次/分,R20次/分,BP24.0/13.3kPa。心界向左下扩大,心律齐,音低钝,A_2>P_2,心尖部可闻及SMⅢ/6,向左腋下传导。腹部无异常发现。ECG示侧壁心肌供血不足。临床诊断:高血压病Ⅲ期。首次给心得安5mg口服,约30分钟后诉头晕,烦躁不安。查体:面色苍白,脉细数,四肢厥冷,BP12/8kPa。即查心电图,除侧壁心肌供血不足外,未见其它明显异常。按心源性休克治疗,1小时后血压恢复至20.0/10.6kPa,一般情况改
1 clinical data patients Lee, male, 64 years old. Admission examination T36.5 ℃, P80 beats / min, R20 beats / min, BP24.0 / 13.3kPa. Heart to expand to the left, Qi Qi, tone low blunt, A_2> P_2, apex can be heard and SM Ⅲ / 6, to the left axillary conduction. Abdominal abnormalities found. ECG showed side wall myocardial insufficiency. Clinical diagnosis: hypertension stage Ⅲ. For the first time to the safety of oral 5mg, about 30 minutes after the complaint dizziness, irritability. Physical examination: pale, pulse breakdown, extremities Jueleng, BP12 / 8kPa. That check the ECG, in addition to lateral myocardial insufficiency, no other obvious abnormalities. According to cardiogenic shock treatment, 1 hour after the blood pressure was restored to 20.0 / 10.6kPa, the general situation changed