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我院收治冠心病心绞痛所致反复阿斯综合征1例,疗效显著,特报告如下。 患男,55岁。因间断性胸闷、气短、心慌3年,加重伴胸痛、反复抽搐1个月,曾经当地医院按癫痫治疗无效,于1992年11月29日急诊入院。既往有冠心病4年。入院查体:体温36.6℃,脉搏86次/min,呼吸20次/min,血压16/10.7kPa。自动体位,神清合作。头颈无异常。双肺呼吸音清晰。心界不大,心律整,无杂音。肝脾未及。心电图示大致正常。X线胸片正常。入院后每日均2～5次抽搐,每次发作前有剧烈胸骨后压榨样疼痛,左上肢麻木感,并伴有心慌、气短、大汗。每次抽搐约4～5min后意识丧失,颜面青紫,时有小便失禁,持续10～30s后发作
In our hospital admitted to coronary heart disease angina pectoris caused by repeated asthma syndrome in 1 case, significant effect, special report as follows. Male, 55 years old. Due to intermittent chest tightness, shortness of breath, palpitation for 3 years, aggravated with chest pain, repeated convulsions for 1 month, once the local hospital according to epilepsy treatment ineffective, in November 29, 1992 emergency admission. Previous coronary heart disease 4 years. Admission examination: body temperature 36.6 ℃, pulse 86 times / min, breathing 20 times / min, blood pressure 16 / 10.7kPa. Automatic position, clear cooperation. Head and neck no abnormalities. Breath sounds clear lungs. Little heart, heart rhythm, no noise. Liver and spleen not yet. ECG shows roughly normal. X-ray normal. 2 to 5 times a day after admission, convulsions, each episode of severe chest pain after pressing the sample, the left upper limb numbness, accompanied by palpitation, shortness of breath, sweating. Each convulsions about 4 ~ 5min loss of consciousness, facial bruising, urinary incontinence, sustained 10 to 30 seconds after the attack