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患者23岁,产后第3天因心前区疼痛伴出汗10小时转诊来院。发病前3天足月顺利分娩一健康男婴,在一次大便后始感心前区疼痛,渐加重伴出汗,疼痛与呼吸无关,不咳,无呼吸困难,不发热。平素无烟酒嗜好;无高血压、系统性红斑狼疮、糖尿病及口服避孕药史;父母体健。妊娠期间未发现水肿、高血压及蛋白尿。查体:BP12.5/6.0kPa,P116次,R25次。其余无异常发现。实验室检查:Hb120g/L,WBC12×10_9/L,N80％,L20％;嗜酸性粒细胞绝对计数0/L,尿:蛋白(-),糖(-),镜检无异常;血糖9.9mmol/L。首次EKG示:STI、aVL、V_1～4升高,连续数次观察
Patients 23 years old, postpartum 3 days due to anterior precordial pain accompanied by sweating 10 hours referral to hospital. Three days before the onset of full-term successful delivery of a healthy baby boy, feeling stool in a stool after a stool, gradually increased with sweating, the pain has nothing to do with breathing, no cough, no breathing difficulties, no fever. General non-alcoholic alcoholism; no high blood pressure, systemic lupus erythematosus, diabetes and oral contraceptive history; parents physical health. No edema, hypertension and proteinuria during pregnancy. Physical examination: BP12.5 / 6.0kPa, P116 times, R25 times. The rest without exception found. Laboratory tests: Hb120g / L, WBC12 × 10_9 / L, N80%, L20%; absolute eosinophil count 0 / L, urine: / L. The first EKG showed: STI, aVL, V_1 ~ 4 increased several consecutive observations