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患者,男,56岁。7年前患下壁心肌梗塞治愈。于1992年9月11日中午饮酒后出现胸闷不适,上腹部胀痛,次日晨1时胸痛加重,持续性并向左肩部放射,出汗,含服硝酸甘油不能缓解。查体:血压16/9.46kPa,两肺清晰,心界不大,心率94次/分,律齐,心音低钝,各瓣膜听诊区均未闻及病理性杂音,肝脾不大,双下肢无浮肿。经心电图及心肌酶学检查证实为“急性前壁心肌梗塞”。治疗给予吸氧、镇痛及应用极化液、静滴复方丹参、蛇毒等药物,24小时后疼痛缓解。第3日突然出现呼吸气促、咯粉红色泡沫样痰、血压下降至8/6.67kPa,口唇发绀,四肢发冷,
Patient, male, 56 years old. 7 years ago suffering from inferior wall myocardial infarction cure. On September 11, 1992 at noon after drinking chest tightness discomfort, abdominal pain, chest pain increased at 1 am the next morning, sustained and left shoulder radiation, sweating, containing nitroglycerin can not be alleviated. Physical examination: blood pressure 16 / 9.46kPa, both lungs clear, heart, heart rate 94 beats / min, law Qi, heart sound low blunt, the valve auscultation area were not heard of pathological murmur, hepatosplenism is not large, No swelling. The ECG and myocardial enzymes confirmed as “acute anterior myocardial infarction.” Treatment given oxygen, analgesia and application of polar fluid, intravenous compound Salvia, snake venom and other drugs, pain relief after 24 hours. Suddenly appeared on the 3rd day of breathlessness, slightly pink foam-like sputum, blood pressure dropped to 8 / 6.67kPa, cyanotic lips, limbs cold,