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病理性睡眠呼吸暂停综合征现正受到更加广泛的重视。然而急性心肌梗塞(AMI)伴呼吸暂停综合征的报道甚少,故将我院遇到3例予以报道并加以讨论。病例介绍例1.男,70岁,农民。因心前区闷痛伴呼吸困难2小时入院。心电图示Ⅱ、Ⅲ、aVF导联出现病理Q波,ST-T形成单向曲线,P-R间期逐渐延长伴QRS综合波脱落。临床诊断:急性下壁心肌梗塞,Ⅱ°I型房室传导阻滞(A-VB)。经静注尿激酶为主的综合治疗,临床症状缓解,Ⅱ°A-VB消失。但于住院后4小时夜间睡眠中出现呼吸暂停,即静滴可拉明、人工面罩加压给氧辅助呼吸获效,暂停时间由30
Pathological sleep apnea syndrome is now receiving more widespread attention. However, acute myocardial infarction (AMI) with apnea syndrome rarely reported, so my hospital encountered 3 cases to be reported and discussed. Case introduction Example 1. Male, 70 years old, farmer. Because of precordial pain and pain with breathlessness 2 hours admission. ECG showed Ⅱ, Ⅲ, aVF lead pathological Q wave, ST-T form a one-way curve, P-R interval gradually extended with QRS complex wave shedding. Clinical diagnosis: acute inferior wall myocardial infarction, Ⅱ ° I type atrioventricular block (A-VB). After intravenous injection of urokinase-based comprehensive treatment, clinical symptoms, Ⅱ ° A-VB disappeared. However, 4 hours after hospitalization in the nighttime sleep apnea, that intravenous injection of cocaine, artificial mask pressurized oxygen assisted breathing effect, the suspension time from 30