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患者男性,60岁.因持续性胸骨后疼痛3h,含服硝酸甘油不能缓解于1989年5月23日急诊入院.既往有类似发作性胸痛,并向左肩胛部放射史5年,休息后可缓解.1月前一次发作胸痛时伴有胸闷、憋气,体检未见异常,心电图(附图A)示窦性心律,心率73次/min.STv_6水平型下降0.05mV,T_(?)、aVF平坦,V_5、V_6低平.本次入院体检:BP119/70mmHg(15.9/9.3kpa).发病第4h查GPT120U/L、GOT391U/L、CPK2073U/L.心电图(附图B)示窦性心动过速,P-R间期缩短至0.10s,QRS时间增宽至0.14s,
The patient, male, was 60 years old and had persistent post-sternal pain for 3 hours, with nitroglycerin budesonide not being relieved on an emergency visit on May 23, 1989. Previously, there was a history of similar episodes of chest pain and a 5-year history of radiation to the left scapular. (Figure A) showed sinus rhythm, heart rate 73 times / min.STv_6 level decreased by 0.05mV, T _ (?), AVF Flat, V_5, V_6 low level. The admission examination: BP119 / 70mmHg (15.9 / 9.3kpa) .At the first 4h check GPT120U / L, GOT391U / L, CPK2073U / L. ECG (Figure B) shows sinus tachycardia Speed, PR interval shortened to 0.10s, QRS time widened to 0.14s,