论文部分内容阅读
患者,男,76岁,体重52 kg。因“反复活动后胸闷气促1月余,加重伴胸痛1周”入院。患者既往有冠心病、消化道溃疡、慢性肾功能不全病史。入院体检:T 36.5℃,P 76次/min,BP 98/68 mm Hg;血常规检查:WBC 17.65×109·L~(-1),N91.4%;其他生化指标:Cr 163.2μmol·L~(-1),BUN 16.6 mmol·L~(-1),K+3.9 mmol·L~(-1),B型尿钠肽(BNP)1 778 pg·ml~(-1)。入院后完善相关检查,诊断:急性冠脉综合征心力衰竭NYHA
Patient, male, 76 years old, weighing 52 kg. Due to repeated activities after chest tightness and more than 1 month of gas, increased with chest pain 1 week "admission. Patients with coronary heart disease, peptic ulcer, chronic renal insufficiency history. The admission examination: T 36.5 ℃, P 76 / min, BP 98/68 mm Hg; blood tests: WBC 17.65 × 109 · L -1, N91.4%; other biochemical indicators: Cr 163.2μmol·L ~ (-1), BUN 16.6 mmol·L -1, K + 3.9 mmol·L -1, and BNP 1 778 pg · ml -1. After admission to improve the relevant inspection, diagnosis: acute coronary syndrome heart failure NYHA