论文部分内容阅读
患者,女,65岁,体质量47.5kg。因“反复发作性胸痛1个月,加重1 d”于2016年8月10日入院。入院查体未见异常。辅助检查:心肌损伤标志物:肌钙蛋白I(cTnI)9.8 ng/ml(正常参考值0~0.06 ng/ml),肌酸激酶同工酶(CK-MB)12 ng/ml(正常参考值0~5.00 ng/ml);心电图:V4~V6ST段压低0.2 mV,心脏彩色多普勒超声:左心室运动欠协调,肝肾未见异常。诊断:冠状动脉粥样硬化性心脏病,急性非ST段抬高性心肌梗死,Killip分级1级。入院后给予阿托伐他汀(阿乐)40
Patient, female, 65 years old, body mass 47.5kg. Due to “recurrent chest pain for 1 month, increased 1 d ” was admitted on August 10, 2016. Admission examination showed no abnormalities. Auxiliary examinations: Cardiac injury markers: cTnI 9.8 ng / ml (normal reference 0 to 0.06 ng / ml) and creatine kinase isozyme (CK-MB) 12 ng / ml (normal reference value 0 ~ 5.00 ng / ml); ECG: V4 ~ V6ST section down 0.2 mV, color Doppler ultrasound: left ventricular motion coordination, liver and kidney no abnormalities. Diagnosis: Coronary atherosclerotic heart disease, acute non-ST elevation myocardial infarction, Killip graded 1 grade. Admission of atorvastatin (Arrold) 40 after admission