馬凡綜合征并發(fā)不典型主動(dòng)脈夾層1例
發(fā)布時(shí)間:2018-02-14 03:13
本文關(guān)鍵詞: 馬凡綜合征 典型主動(dòng)脈夾層 長(zhǎng)期吸煙史 急性冠脈綜合征 入院體格檢查 高血壓病 電軸 竇性心律 血壓 血常規(guī) 出處:《廣東醫(yī)學(xué)》2017年19期 論文類(lèi)型:期刊論文
【摘要】:正患者,男,37歲。2016年2月11日,因突發(fā)喉部發(fā)緊,頭昏3 h入院;颊3 h前無(wú)明顯誘因突發(fā)喉部發(fā)緊,頭昏,眼冒金星,伴右上肢麻木發(fā)冷。無(wú)頭痛,無(wú)惡心,嘔吐。急診入院后,CT示:頸部和食管未見(jiàn)異常。心電圖示:竇性心律,電軸正常,V2導(dǎo)聯(lián)ST段抬高0.1 m V。入院體格檢查:體溫36.6℃;脈搏61次/min,呼吸20次/min,血壓(左上肢)100/60 mmH g。神清,高顴骨,四肢細(xì)長(zhǎng),心肺未見(jiàn)異常。既往否認(rèn)高血壓病、糖尿病史,有長(zhǎng)期吸煙史,約10支/d。入院后診斷:疼痛原因待查,急性冠脈綜合征。立即完善血常規(guī)、肝腎功
[Abstract]:The patient was 37 years old. In February 11th 2016, he was admitted to hospital for 3 hours because of sudden larynx. There was no obvious inducement to burst larynx, dizziness, dizziness, dizziness, numbness and chills in the right upper limb. There was no headache, no nausea, no nausea, no headache, no nausea. Vomiting. After admission to hospital, CT scan showed no abnormality in neck and esophagus. Electrocardiogram showed sinus rhythm, St segment elevation of lead V _ 2 in normal axis was 0.1 MV. Physical examination of admission: body temperature was 36.6 鈩,
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