【摘 要】
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例1:患者,男性,65岁,胸闷、心前区疼痛2年余,与活动无关.于2001年3月4日以不稳定性心绞痛收入院.查体:血压17.3kPa/11.5kPa,一般情况尚可,心界不大,心音可,心率80bpm,心尖部2
【机 构】
:
青海医学院附属医院心内科810001
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例1:患者,男性,65岁,胸闷、心前区疼痛2年余,与活动无关.于2001年3月4日以不稳定性心绞痛收入院.查体:血压17.3kPa/11.5kPa,一般情况尚可,心界不大,心音可,心率80bpm,心尖部2/6收缩期杂音,A2>P2,双肺未闻及干湿性罗音.心电图示:ST段:Ⅱ、Ⅲ、avF水平下移1.0mV,T波:V4-6倒置.24小时动态心电监护ST-T改变.肌钙蛋白T阴性.入院后经扩血管抗凝等多种治疗一周后,心绞痛仍不能得到控制.于3月10日行冠状动脉造影显示右冠状动脉第二段有一95%的狭窄病变,用0.0
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