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临床资料男患,54岁,1990年12月28日在工作中突觉胸闷、头晕,起立后晕厥约2分钟,清醒后大汗淋漓、极度无力,继续工作。于发病第三日仍持续胸闷、四肢软弱无力、上楼困难而就医。平素健康,长期业余时间长跑,查体:T36℃,P75次/分,BP16/10.7kPa,双肺正常。心界不大,心率75次/分,律整,心尖部可闻及Ⅱ级收缩期杂音。余无异常。胸片:示主动脉迂曲延长。心电图:窦性心律,急性心内膜下心肌梗塞。连续心电图观察:8周后各
Clinical data Male, 54 years old, December 28, 1990 in the work suddenly feel chest tightness, dizziness, syncope after standing up for about 2 minutes, awake after sweating, extremely weak, continue to work. The onset of the third day continued to chest tightness, limb weakness, difficult to go to hospital for medical treatment. Usually healthy, long-term leisure time long-distance running, physical examination: T36 ℃, P75 beats / min, BP16 / 10.7kPa, normal lungs. Heart, heart rate 75 beats / min, law, apex can be heard and Ⅱ systolic murmur. I no exception. Chest radiograph: prolonged tortuous aorta. ECG: sinus rhythm, acute subendocardial myocardial infarction. Continuous ECG: 8 weeks after each