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静脉滴注硝酸甘油抢救老年人急性肺水肿,1991年我院抢救成功3例,现报告如下。资料与结果患者男2例,女1例,年龄62～72岁,都有冠心病史。其中并有高血压者2例,糖尿病者1例。症状都有胸闷气急,发病时焦虑烦躁,不能平卧,口吐白沫或血色泡沫痰,血压增高,呼吸急促,两肺布满干湿罗音,心界扩大,平均心率130次/分,胸片示心脏扩大。发作时心电图均有心率增速,P波电压增高宽大,PtfV_1≤-0.004mm·s,其中1例发作前原有陈旧性前壁心肌梗塞心电图改变,另2例发作时前胸导联均呈貌似局限性前壁梗塞心电图改变,V_1～V_3均呈rS或QS型,
Nitroglycerin intravenous salvage rescue acute pulmonary edema in elderly in 1991, 3 cases of successful rescue hospital, are as follows. Materials and Results Patients 2 patients were male and 1 female, aged 62 to 72 years, have a history of coronary heart disease. Among them, there were 2 cases of hypertension and 1 case of diabetes. Symptoms are chest tightness and shortness of breath, the onset of anxiety irritability, can not lie down, foaming at the mouth or bloody foam sputum, blood pressure, shortness of breath, lungs filled with wet and dry rales, expanding the heart, the average heart rate 130 beats / min, Chest radiograph shows enlarged heart. The onset of electrocardiogram increased heart rate, P wave voltage increase and width, PtfV_1≤-0.004mm · s, including 1 before the onset of the original anterior wall myocardial infarction electrocardiogram changes, and the other two cases of chest lead leads were seemingly Limitations of anterior wall infarction ECG changes, V_1 ~ V_3 were rS or QS type,