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患者男,53岁,有高血压、心绞痛史2年。劳累后发作心前区剧痛13小时伴昏厥、大汗于1986年2月4日8pm急诊入院。检查:Bp80/60,S_1低沉,肺无啰音,深吸气时颈静脉怒张。心电图Ⅱ、Ⅲ、aVF ST段抬高≥0.2mv,伴快房颤。拟诊心绞痛发作。经扩冠药物、扩容和静脉滴注多巴胺后血压回复140/100。35小时心电图Ⅱ、Ⅲ、aVF ST段回复基线,出现异常Q波,T波变低平。同时加作CV_(4R5R)出现Qr波,ST段抬高≥0.1mv。即予肝素抗凝剂和增加补液量。入院后第3天心电图示窦缓(40次/分),Ⅱ度AVB,房室分
Male patient, 53 years old, with hypertension, history of angina for 2 years. Exhausted after exertion precordial pain 13 hours with fainting, sweating in February 8, 1986 8pm emergency admission. Check: Bp80 / 60, S_1 low, pulmonary arachnoid, deep venous jugular vein engorgement. ECG Ⅱ, Ⅲ, aVF ST segment elevation ≥ 0.2mv, with fast atrial fibrillation. Simultaneous angina pectoris attack. The blood pressure restored after 140% of the enrolled ECG in the second, third, and aVF ST-segment recovery after baseline dilatation and intravenous drip of dopamine showed abnormal Q wave and T wave became lower. At the same time as CV_ (4R5R) appear Qr wave, ST segment elevation ≥ 0.1mv. Give heparin anticoagulants and increase fluid volume. On the 3rd day after admission, ECG showed sinus bradycardia (40 beats / min), degree AVB, atrioventricular points