论文部分内容阅读
例1:王某某 男,26岁,住院号:91-7689,因与他人打仗剧烈奔跑数分钟后突感心前区压榨性疼痛,胸闷,大汗三十分钟入院。入院后血压:14/8Kpa,心率:90次/分,体温:36.5℃神志清,痛苦病容。心界不大,心音低钝,律不规整,呈二联律,无杂音。心电田提示急性广泛性前壁心肌梗塞,频发室早,二联律(附图见后)。化验:CPK 1199.4u/L,G.O.T 75.3u/L,1.D.H 421.9u/L。入院诊断:冠状动脉痉挛,急性广泛性前壁心肌梗塞,心功能Ⅲ级,频发室早,二联律。住院39天,多次复查心电,酶学等均支持上述诊断。U.C.G提示室间隔中下部,前壁,部分前侧壁呈低或无动力状态。于91年11月26日临就要症状消失,心电呈心梗亚急期,酶学正常出院。
Example 1: Wang Moumou male, 26 years old, inpatient number: 91-7689, due to fierce run with others to fight a few minutes after the sudden feeling of exacerbated pain, chest tightness, sweating thirty minutes admitted. Blood pressure after admission: 14 / 8Kpa, heart rate: 90 beats / min, body temperature: 36.5 ℃ conscious, painful disease. Small heart, low heart sound blunt, irregular law, was law, no noise. ECG prompt acute acute anterior myocardial infarction, frequent premature ventricular couplets, bipartite (see below). Assay: CPK 1199.4u / L, G.O.T 75.3u / L, 1.D.H 421.9u / L. Admission diagnosis: coronary artery spasm, acute extensive anterior myocardial infarction, cardiac function grade Ⅲ, frequent premature ventricular contractions, two laws. 39 days hospitalization, repeated review of ECG, enzymology, etc. support the above diagnosis. U.C.G prompts the lower part of the interventricular septum, anterior wall, part of the anterior wall was low or no power state. On November 26, 91 Pro will disappear, symptoms of acute myocardial infarction, enzyme normal discharge.