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林××,女,85岁,农民。因突然神志不清,口唇发绀、左侧肢体瘫痪8小时,于91年1月11日入院。发病后呕吐4次,抽搐2次,遗尿2次。有高血压病史及心房纤颤6年,4年前因脑血管意外出现右侧肢体瘫痪,一直长期卧床。体检:BP16.7/9.3kPa。神志昏迷,面色苍白,呼吸稍促。两侧瞳孔不等大,对光反射迟钝。颈软。心界不大,心率120次/分,心房纤颤,心脏无杂音。两肺底有少许湿性啰音闹被?两侧巴氏征阳性心电图检查:发现快速型房颤,频发性室性早搏,Ⅱ、Ⅲ、avF、V_3、V_4、V_5导联出现病理性Q波,S-T段抬高达0.4mv,弓背向上,与T波形成单向曲线,拟诊急性前壁、下壁心肌梗塞。
Lin × ×, female, 85 years old, farmer. Due to sudden unconscious, cyanotic lips, paralysis of the left limb 8 hours, January 1, 1991 admission. After the onset of vomiting 4 times, 2 convulsions, enuresis 2 times. Have a history of hypertension and atrial fibrillation for 6 years, 4 years ago due to cerebrovascular accident paralysis of the right limb, has been bedridden. Physical examination: BP16.7 / 9.3kPa. Conscious coma, pale, breathing a little urgency. Pupils on both sides of large, slow reflection of light. Neck soft. Heart, heart rate 120 beats / min, atrial fibrillation, heart no noise. There was a little damp rales in both lungs at the end of downtown? Was? Pap tests on both sides of the positive ECG: rapid atrial fibrillation found, frequent premature ventricular contractions, Ⅱ, Ⅲ, avF, V_3, V_4, V_5 lead pathology Sex Q wave, ST segment elevation of 0.4mv, bow back up, and the T wave to form a one-way curve to diagnose the acute anterior wall, inferior wall myocardial infarction.