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患者男性,55岁。因反复阵发性心前区疼痛四天,伴胸骨后压榨性疼痛二小时,于1990年元月9日入院。既往无心脏病史。入院体检:Bp15.9/7.4kPa,神清,痛苦面容,烦躁不安,面色苍白,四肢冰冷,肢端及口周轻度青紫。两肺阴性。心界不大,心音低钝,心率70次/分,整齐,心尖闻及Ⅰ-Ⅱ/Ⅵ级收缩期吹风样杂音。实验室及特殊检查,WBC20.4×10~9/L,分类N0.86,L0.12,M0.2,Hb130g/L。血清酶CPK1899U,LDH810U,SGOT26U,SR96mm/小时。入院心电图诊断急性前间壁心肌梗塞,次日后演变为急性广泛前壁心
Male patient, 55 years old. Due to recurrent paroxysmal pain for four days, with sternal pain after two hours, on January 9, 1990 admission. No previous history of heart disease. Admission medical examination: Bp15.9 / 7.4kPa, Shen Qing, painful face, irritability, pale, cold limbs, limbs and mouth slightly bruising. Two lungs negative. Heart, blunt low heart rate 70 beats / min, neat, apex smell and Ⅰ-Ⅱ / Ⅵ systolic hair-like murmur. Laboratory and special examination, WBC20.4 × 10 ~ 9 / L, classification N0.86, L0.12, M0.2, Hb130g / L. Serum enzymes CPK1899U, LDH810U, SGOT26U, SR96 mm / hr. Admission ECG diagnosis of acute anterior myocardial infarction, the next day evolved into an acute extensive anterior heart