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病例简介:患者胡文新,男,39岁,系河北省徐水县孙村农民,病历号20614。该患者于90年8月3日突发胸骨下端压榨性疼痛,向咽喉部放射,伴大汗淋漓。就诊于徐水县医院,以“急性广泛前壁心梗”住院两月缓解出院。出院后4天再次发作心慌气促,咯粉红色泡沫痰,再次住院。治疗25天,心慌气短不能缓解,经人介绍转我科治疗。入院后,查心电图,心脏三位片、血液流变学(九项指标)、心动超声、晚电位等项检测,确诊为广泛前壁心肌梗塞合并左室前壁巨大附壁血栓(5.9×2.3厘米,见图1),左心衰竭。经极化能量液加少量强心剂及蝮蛇毒(清栓酶)0.75u/3支加低分子右旋糖酐250毫升静滴,每日一次,治疗第20天,心衰症状消失心功能降
Case Profile: The patient Hu Wenxin, male, 39 years old, is a farmer from Suncun, Xushui County, Hebei Province, with medical record number 20614. The patient in August 3, 90 sudden submandibular pressure pain, radiation to the throat, with sweating. Visited Xushui County Hospital, with “acute anterior wall myocardial infarction,” hospitalized two months to ease the discharge. Four days after discharge from the hospital again palpitation shortness of breath, slightly pink foam sputum, hospitalized again. Treatment for 25 days, palpitation shortness of breath can not be mitigated, after the introduction of my branch of treatment. After admission, the electrocardiogram, cardiac three tablets, hemorheology (nine indicators), echocardiography, late potentials and other items were detected and diagnosed as extensive anterior myocardial infarction with huge left ventricular anterior wall mural thrombus (5.9 × 2.3 Cm, see Figure 1), left heart failure. The polarized energy solution plus a small amount of cardiotonic and viper poison (clear enzyme) 0.75u / 3 with low dextran 250ml intravenous infusion once a day on the 20th day, heart failure symptoms disappeared