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1病例报告病例1:患者,男,19岁,公司保安,既往体健,以“胸闷、心悸1天,胸痛4小时”为主诉于2013年4月25日入院。患者于入院前4小时突然出现心前区疼痛,呈绞榨样,无肩背部放射痛,无恶心、呕吐,无意识丧失,无黑曚、晕厥,症状持续不缓解,急来我院,心电图提示窦性心律、V2~V6导联ST抬高0.1~0.25mV,心脏超声:左室增大,左室壁运动异常,左室收缩功能减低,二、三尖瓣返流(少量),EF值48%。心肌酶:
1 Case Report Case 1: The patient, male, 19 years old, company security, past physical health, with “chest tightness, palpitations 1 day, chest pain 4 hours ” as the chief complaint on April 25, 2013 admission. 4 hours before admission, patients suddenly appeared in front of heart pain, was unscreened, no shoulder back radiating pain, no nausea, vomiting, loss of unconsciousness, no black flesh, fainting, the symptoms continued to ease, anxious to our hospital, ECG tips Sinus rhythm, V2 ~ V6 lead ST elevation 0.1 ~ 0.25mV, cardiac ultrasound: left ventricular enlargement, left ventricular wall motion abnormalities, reduced left ventricular systolic function, two, tricuspid regurgitation (a small amount), EF 48%. Myocardial enzymes: