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1.病例介绍 患者,女,67岁。发病前1日心前区疼痛多次,向左肩背放射,每次发作10分钟左右,服硝酸甘油与卧床休息后缓解,发病当日在活动中突觉胸部剧痛伴冷汗,伴发一过性晕厥。既往有糖尿病史8年,长期口服消渴丸。入院时查体:神志清楚,心率64次/分,血压测不清,心脏听诊未闻及病理性杂音,律齐,叩诊心界向左侧扩大,左下肺有湿罗音。心电图示急性广泛前壁
1. Case description Patients, female, 67 years old. On the 1st day before onset of precordial pain many times to the left shoulder back radiation, about 10 minutes of each episode, taking nitroglycerin and bed rest and ease the onset of the day in the event of sudden pain in the chest with cold sweat, accompanied by a transient Syncope. Past history of diabetes 8 years, long-term oral Xiaoke Wan. Admission examination: conscious, heart rate 64 beats / min, blood pressure measurement is not clear, auscultation of the heart and pathological murmur, law Qi, percussion heart widened to the left, left lower lobe wet rales. ECG shows acute extensive anterior wall