论文部分内容阅读
患者男,62岁。因陈旧性前壁心肌梗塞,不稳定型心绞痛于85年12月27日入院。查体:血压:130/80mmHg,心界大、律齐;心电图:I、avl呈qR,V_(2.3),分别呈QS,qRS波形。入院后,心绞痛时有发作,偶有室性早搏和短阵室性心动过速。于86年2月6日反复发作性胸闷达3小时。查体:血压120/90mmHg,第一心音较前低钝;心电图:ST I、aVL、V_(1-4)弓背抬高,继而Q_(aVL)加深增宽,V_(1-4)均呈QS波形。SGOT 137μ(Reitman法),LDH1656μ。诊断:急性广泛前壁再梗。此后患者血压较前下降(70-110/68-
Male patient, 62 years old. Due to obsolete anterior myocardial infarction, unstable angina was admitted on December 27, 1985. Physical examination: blood pressure: 130 / 80mmHg, big heart, law Qi; ECG: I, avl was qR, V_ (2.3), were QS, qRS waveform. After admission, angina pectoris attack, occasional ventricular premature beats and short bursts of ventricular tachycardia. On February 6, 86 repeated episodes of chest tightness up to 3 hours. Examination: blood pressure 120 / 90mmHg, the first heart sound blunt than before; ECG: ST I, aVL, V_ (1-4) dorsal ravine, followed by Q_ (aVL) deepened widening, V_ (1-4) QS waveforms were. SGOT 137μ (Reitman method), LDH1656μ. Diagnosis: Acute extensive anterior wall infarction. Since then the patient’s blood pressure decreased (70-110 / 68-