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1 病例报告患者男,54岁。因突发心前区剧痛伴大汗、恶心14h入院。1997—05—11晨练返途中突发心前区压榨性剧痛,向双上肢放射,冷汗淋漓,予止痛药无效,症状进行性加重,当天20:30急诊入院。查体:体温35℃,脉搏108/min,血压9/6kPa(68/45mmHg),呼吸30/min。神志淡漠,面色苍白,全身皮肤湿冷。双跟睑皮下青紫色瘀斑,结膜下大片出血斑,四肢皮肤散在片状瘀斑。听诊双肺底细小湿啰音,心脏第一心音减弱,心尖部全收缩期杂音向左腋下传导。心电图Ⅰ、Ⅱ、Ⅲ、aVL、aVF、V_1～V_6
A case report male patient, 54 years old. Because of sudden heart area pain accompanied by sweating, nausea 14h admission. 1997-05-11 morning exercise return sudden heart area press pain, radiation to the upper extremities, cold sweat dripping, to the painkillers invalid, progressive worsening of symptoms, emergency admission 20:30 the same day. Examination: body temperature 35 ℃, pulse 108 / min, blood pressure 9 / 6kPa (68 / 45mmHg), breathing 30 / min. Feel indifferent, pale, wet skin and cold. Double with the eyelid purple ecchymosis, large conjunctival hemorrhage spot, limbs scattered in the patchy ecchymosis. Auscultation of the lungs at the end of a small wet rales, the heart of the first heart sound weakened, apical systolic murmurs to the left axillary conduction. ECG Ⅰ, Ⅱ, Ⅲ, aVL, aVF, V_1 ~ V_6