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患者,女,40岁,1988年6月30日上午9时30分上班时突然昏厥在椅子上,体查;意识丧失,面色苍白,小便失禁,血压测不到,心音、脉搏消失,立即按心脑综合征抢救。20分钟后,血压70/40mmHg,意识恢复,但神志恍惚,反应迟钝,心率70次/分,心音微弱,立即到某医院急诊室,患者感上腹部不适伴恶心,呕吐数次(呕吐物为咖啡色样物,每次约30ml),既往有冠心病史,无胃病史。该院按急性胃肠炎处理,病情加重。患者气促,心悸,胸闷,烦躁抓胸,体冷汗,心率120次/分,
Patient, female, 40 years old, June 30, 1988, 9:30 am Suddenly fainting at work on the chair, physical examination; loss of consciousness, pale, urinary incontinence, blood pressure can not be measured, heart sound, pulse disappeared, press immediately Heart and brain syndrome rescue. 20 minutes later, blood pressure 70 / 40mmHg, consciousness recovery, but trance, unresponsive, heart rate 70 beats / min, weak heart sounds, immediately to a hospital emergency room, the patient feels uncomfortable with abdominal discomfort, vomiting several times (vomit Brown samples, each about 30ml), previous history of coronary heart disease, no history of stomach. The hospital treated by acute gastroenteritis, exacerbations. Patients with shortness of breath, heart palpitations, chest tightness, irritability chest, body cold sweat, heart rate 120 beats / min,