本文選題：急性主動脈夾層　切入點：右室心肌梗死　出處：《中國超聲醫(yī)學(xué)雜志》2017年09期

【摘要】：正患者男,64歲。因胸骨后壓榨樣疼痛5h入院,伴全身大汗淋漓、暈厥1次。查體:體溫36.3℃,脈搏82次/min,心率82次/min,律齊,呼吸20次/min,血壓82/46 mm Hg(1 mm Hg=0.133kPa),神清,雙肺呼吸聲音粗,主動脈瓣膜聽診區(qū)可聞及3/6級雜音,無心包摩擦聲音,余未見明顯異常。心電圖示:Ⅱ、Ⅲ、aVF導(dǎo)聯(lián)ST段抬高,V1~V6導(dǎo)聯(lián)T波倒置,V3R~V5R導(dǎo)聯(lián)ST段抬高。實驗室指標:CK 1 677IU/L,CK-MB80ng/ml,cTnI 49.75ng/ml,Myo 553.3ng/ml。初診:冠心病、急性下壁、右室心肌梗死。
[Abstract]:The patient is 64 years old.He was admitted to hospital for 5 hours because of post-sternal squeezing pain, accompanied by sweating and syncope once.Electrocardiogram showed that St segment elevation in leads 鈪，

本文編號：1719467