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患者男性,19岁,农民,未婚,住院号6787。因心前区压榨性疼痛8小时于1987年8月30日急诊入院。疼痛向上腹部及左肩放射。以往体健。否认心脏病及胸痛史,无烟酒嗜好。体检:体温37℃,血压17.3/107kPa(130/80mmHg),心界正常。心率74次/分,律齐,心音低钝,各瓣膜听诊区无病理性杂音。两肺呼吸音清晰。腹部无异常。眼底动脉正常。心电图Ⅱ导联QRS波呈qRS型,Ⅲ、aVF导联呈QS型,ST_(Ⅱ、Ⅲ、aVF)抬高4.5～5.0mV,ST_(aVL)压低3mV。白细胞14.2×10~9/L,中性0.84,淋巴0.13,酸性0.03。血小板112x10~9/L,血沉31mm/h。谷草转氨酶149u(正常<40u),乳酸脱氢酶1535u(正常<540u)。血糖,血脂,血钾、钠、氯,二氧化碳结合力,肝、肾功能均正常。二维超声心动图示左室后壁运动幅度减低。诊断急性下壁心肌梗塞。入院后经吸
Male patient, 19 years old, farmer, unmarried, hospital number 6787. Due to precancerous conditions of pain 8 hours in August 30, 1987 emergency admission. The pain radiates to the upper abdomen and left shoulder. Past physical health. Denied history of heart disease and chest pain, non-smoking alcohol hobby. Physical examination: body temperature 37 ℃, blood pressure 17.3 / 107kPa (130 / 80mmHg), normal heart. Heart rate 74 beats / min, law Qi, heart sound low blunt, the valve auscultation area without pathological noise. Breath sounds clear both lungs. No abnormal abdomen. Fundus artery normal. QRS wave of ECG Ⅱ lead was qRS type, Ⅲ, aVF lead was QS type, ST_ (Ⅱ, Ⅲ, aVF) elevation 4.5 ~ 5.0mV, ST_ (aVL) depression 3mV. White blood cells 14.2 × 10 ~ 9 / L, neutral 0.84, lymphatic 0.13, acidic 0.03. Platelets 112x10 ~ 9 / L, erythrocyte sedimentation rate 31mm / h. Aspartate aminotransferase 149u (normal <40u), lactate dehydrogenase 1535u (normal <540u). Blood glucose, blood lipids, potassium, sodium, chlorine, carbon dioxide binding, liver and kidney function are normal. Two-dimensional echocardiography showed a decrease in left ventricular posterior wall motion. Diagnosis of acute inferior myocardial infarction. Admission after admission