發(fā)布時(shí)間：2018-05-04 11:51

  本文選題：發(fā)作性胸痛 + 右心室心肌梗死�。� 參考：《中國(guó)循環(huán)雜志》2016年11期

【摘要】：正1臨床資料病例1:女性,47歲,因發(fā)作性胸痛6天,加重并持續(xù)2小時(shí)于2015-09-06入院。入院6天前飽餐后出現(xiàn)胸骨后疼痛,向雙上肢放射,持續(xù)半小時(shí)自行緩解。2015-09-05晚22時(shí)再次胸痛,持續(xù)不緩解。23:23就診于我院急診。既往體健。入院查體:BP:158/90 mm Hg(1mm Hg=0.133k Pa),HR:62bpm,心肺查體(-),雙下肢無水腫。心電圖:II、III、aVF、V_2~V_7導(dǎo)聯(lián)ST段抬高0.1~0.3m V,V_8~V_9導(dǎo)聯(lián)ST段略抬高;經(jīng)皮冠狀動(dòng)脈介入治療(PCI)術(shù)后心電圖相應(yīng)導(dǎo)聯(lián)ST段回落;第3日心電圖
[Abstract]:Case 1 Clinical data: female, 47 years old, were admitted to hospital in 2015-09-06 for 6 days due to paroxysmal chest pain. After full meal 6 days before admission, the patient developed post-sternal pain and radiated to both upper limbs. The patient continued to relieve the chest pain again at 22:00 in the evening of 2015-09-05. The patient was admitted to the emergency department with no relief of .23: 23. Past physical fitness. The patients were admitted to the hospital and examined at: BP: 158mm / 90mm Hg(1mm Hg=0.133k Pao, HR: 62bpm, cardiopulmonary examination, no edema in both lower extremities. St segment elevation of 0.1 to 0.3m V8 / V9 leads in St segment elevation; St segment decrease in leads corresponding to percutaneous coronary intervention (PCI) after percutaneous coronary intervention (PCI); and electrocardiogram (ECG) on the 3rd day after PCI.
【作者單位】： 中國(guó)醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國(guó)家心血管病中心阜外醫(yī)院心內(nèi)科;
【分類號(hào)】：R542.22

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