论文部分内容阅读
1病例报告患者女,80岁,因突发腹胀、心前区疼痛伴左上肢麻木30min入院。患者平素身体健康,有高血压病、冠心病病史。查体:体温36℃,脉搏76/min,呼吸18/min,血压150/90mmHg(1mmHg=0.133kPa),痛苦貌,心肺未见异常,腹壁无膨隆,全腹软,剑下压痛明显,余无压痛及反跳痛。心电图示:窦性心律,心电轴+6°,Ⅰ、Ⅱ、Ⅲ、AVF、V3～V6导联ST段下移0.04mV,V1～V4导联T波倒置。腹部平片示:肠管积气。心肌酶谱示:谷草转氨酶46U/L。诊断:(1)胸痛待查;(2)不稳定型心绞痛。入院后给予吸氧、心电监护,硝酸甘油持续泵入、倍他乐克控制心率、极化液营养心脏等治
A case report Female patient, 80 years old, due to sudden bloating, anterior precordial pain with left upper limb numbness 30min admission. Patients usually healthy, with hypertension, coronary heart disease history. Examination: body temperature 36 ℃, pulse 76 / min, breathing 18 / min, blood pressure 150/90 mmHg (1mmHg = 0.133kPa), pain, no abnormal heart and lungs, abdominal wall without bulging, No tenderness and rebound tenderness. ECG: sinus rhythm, ECG axis 6 °, Ⅰ, Ⅱ, Ⅲ, AVF, V3 ~ V6 lead ST segment down 0.04mV, V1 ~ V4 lead T wave inversion. Abdominal plain film shows: intestinal gas. Myocardial enzymes showed: aspartate aminotransferase 46U / L. Diagnosis: (1) chest pain pending investigation; (2) unstable angina. After admission to give oxygen, ECG monitoring, continuous pumping of nitroglycerin, Betaloc to control heart rate, heart and other nutrition solution of polar fluid