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患者李某,男,64岁,医师,有冠心病史8年,劳累后有心绞痛发作,持续10余分钟,可用消心痛舌下含化而缓解。近一月来发作次数增多,4天来反复发作而于1986年4月14日入院。检查:心界向左扩大,心率60次,肺无罗音,腹部(一),下肢无浮肿,血压110/70。化验:胆固醇5.172mmol/L、甘油三脂5.78mmol/L,血糖5.068mmol/L,肾功能正常。心电图入院时正常,于第五天晚突然在休息时发生严重心前区疼痛,伴大汗,呕吐,持续3小时,当时心电图示下壁心肌缺血、U波改变,符合变异性心绞痛的诊断。经以心痛定+消心痛为主的综合治疗,3小时后心电图基本恢复正常(见图),症状消失。其特点为发作时心电
Patient Lee, male, 64 years old, physician, has a history of coronary heart disease 8 years, angina pectoris after exertion, sustained for more than 10 minutes, can relieve sublingual sedation. The number of seizures increased in the past January, and recurrent episodes in 4 days were admitted on April 14, 1986. Check: heart to the left to expand, heart rate 60 times, pulmonary non-rales, abdomen (a), lower extremity no edema, blood pressure 110/70. Laboratory tests: cholesterol 5.172mmol / L, triglyceride 5.78mmol / L, blood glucose 5.068mmol / L, normal renal function. Electrocardiogram normal admission, on the fifth night suddenly occurred at the time of rest in severe precordial pain, accompanied by sweating, vomiting, sustained for 3 hours, when the ECG showed inferior myocardial ischemia, U wave changes in line with the diagnosis of variant angina . After a comprehensive treatment of heartburn + heartburn elimination, 3 hours after the ECG returned to normal (see photo), the symptoms disappear. It is characterized by episodes of ECG