【摘要】：正患者女,61歲,因突發(fā)胸悶、氣短,伴左胸部及腋下脹痛、頸部腫脹3 h,并出現(xiàn)1次短暫意識(shí)喪失就診。既往糖尿病病史10余年。查體:血壓116 mmHg/70 mmHg,心臟各瓣膜聽診區(qū)未聞及明顯雜音及心包摩擦音。實(shí)驗(yàn)室檢查:肌鈣蛋白Ⅰ0.16μg/L,N-端腦鈉肽前體2 910 ng/L,乳酸脫氫酶、肌酸激酶及其同工酶正常。心電圖檢查:急性下后壁心肌梗死。床旁
[Abstract]:The positive patient was 61 years old, with sudden chest tightness, shortness of breath, left chest and axillary distension and pain, neck swelling for 3 hours, and a temporary loss of consciousness. The past history of diabetes is more than 10 years. Body examination: no obvious murmur and pericardial friction were detected in the heart valve stethoscope area of blood pressure 116 mmHg/70 mmHg,. Laboratory examination: troponin 鈪，

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