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患者,男,68岁.因心前区压榨样疼痛、气促5d于1993年8月25日入院.既往冠心病、心绞痛8年,高血压病1年,血压最高24/16kPa,平时18.8～20.0/12.0～13.3kPa,间断服“罗布麻”、“降压灵”.体检:T36.2℃,P68次/分,BP18.8/10.1kPa,双肺呼吸音清晰,无干湿啰音,心界不大,心率68次/分,律齐,A_2>P_2,各瓣膜听诊区无病理性杂音,腹平软,肝脾未及,双下肢无水肿,血WBC10.6×10~9/L,N75%.心电图示V_1～V_4导联ST段弓背向上抬高0.15～0.3mV.初诊:冠心病,急性前间壁心肌梗
Patients, male, 68 years old because of precordial press-like pain, shortness of breath 5d admitted on August 25, 1993. Previous coronary heart disease, angina 8 years, 1 year of hypertension, blood pressure up to 24 / 16kPa, usually 18.8 ~ 20.0 / 12.0 ~ 13.3kPa, intermittent service “Apocynum”, “blood pressure Ling.” Physical examination: T36.2 ℃, P68 beats / min, BP18.8 / 10.1kPa, lung breath sounds clear, , Heart rate, heart rate 68 beats / min, law Qi, A_2> P_2, the valve auscultation no pathological noise, abdominal soft, liver and spleen not, no lower extremity edema, blood WBC10.6 × 10 ~ 9 / L, N75%. ECG showed V_1 ~ V_4 leads ST segment arch upward lift 0.15 ~ 0.3mV. New diagnosis: coronary heart disease, acute anterior myocardial infarction