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患者男性,60岁,因间歇性心前区闷痛4天、加重1天于1987年10月3日入院。体检:BP90/70,神清,心界不大,心率54次/分,心音低钝,可闻“炮击音”。心电图(附图)拟诊完全性房室传导阻滞(Ⅲ°AVB)伴慢频率(减速依赖型)左束支传导阻滞(DDLBBB)掩盖下壁心肌梗塞。实验室检查:心肌酶 CK 328U/L(正常值0-131)、LDH7.0975μmol·S~(-1)/L(正常值60—133)、GOT9135.16nmol·S~(-1)/L(正
Male patient, 60 years old, because of intermittent anterior pits boring four days, one day heavier on October 3, 1987 admission. Physical examination: BP90 / 70, God clear, heart is not big, heart rate 54 beats / min, heart sound low blunt, can be heard “Shelling sound.” Electrocardiogram (with photos) Diagnosed with complete atrioventricular block (Ⅲ ° AVB) with slow frequency (deceleration dependent) left bundle branch block (DDLBBB) to mask the inferior wall myocardial infarction. Laboratory tests showed that CK 328U / L (normal value 0-131), LDH 7.0975μmol · S -1 / L (normal value 60-133), GOT 9135.16nmol · S -1 / L (positive