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姚某,男,64岁。因睡眠中突发胸闷、气急、冷汗,随即意识丧失半小时于1983年5月14日22时急诊入院。2月前患“急性广泛前壁心肌梗塞”。体检:BP 23.99/14.66 kPa,意识模糊,呼吸急促,口唇紫绀,双肺满布哮鸣音及中细湿鸣,心界左下扩大,心率132次/分,律齐,可闻室性奔马律。心电图:窦性心动过速,左前分支传导阻滞,广泛前壁心肌梗塞演变期。检验:血糖、血脂、电解质、肝、肾功能,心肌酶谱均正常。入院后按急性左心衰予强心、利尿、扩血管等急救措施使心衰
Yao Mou, male, 64 years old. Due to sudden onset of chest tightness, shortness of breath, cold sweat, then loss of consciousness half an hour at 22:00 on May 14, 1983 emergency admission. 2 months ago suffering from “acute extensive anterior myocardial infarction.” Physical examination: BP 23.99 / 14.66 kPa, confusion, shortness of breath, cyanosis of the lips, lungs covered with wheeze and fine wet Ming, heart expanded lower left heart rate 132 beats / min, law Qi, can be heard roomy law. ECG: sinus tachycardia, left anterior branch block, extensive anterior myocardial infarction evolution. Test: blood glucose, blood lipids, electrolytes, liver, kidney function, myocardial enzymes were normal. After admission by acute left heart failure to cardiac, diuretic, vasodilator and other first aid measures to heart failure