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1临床资料患者男性,55岁。糖尿病史6年,持续性胸痛4 h于2009年10月13日入院。血压95/64 mmHg,心肺无阳性体征。心电图示:V1～V3导联ST段抬高呈单相曲线,V4～V6、Ⅱ、Ⅲ、avF ST段水平压低0.1～0.4 mV,aVRST段抬高0.1 mV。入院诊断:冠心病,急性前间壁心肌梗死(考虑前降支近段或左主干病变)。行急诊冠脉造影,有创血压监测为70/40 mmHg。立即予主动脉内气囊反搏(Datascope CS100)支持。造影示:左主干
1 clinical data of patients male, 55 years old. Six years of history of diabetes and 4 hours of persistent chest pain were admitted on October 13, 2009. Blood pressure 95/64 mmHg, cardiopulmonary no positive signs. ECG showed: ST segment elevation in V1 ~ V3 leads showed a single-phase curve, the V4 ~ V6, Ⅱ, Ⅲ, avF ST segment depression level of 0.1 ~ 0.4 mV, aVRST segment elevation of 0.1 mV. Admission diagnosis: coronary heart disease, acute anterior myocardial infarction (consider the proximal descending artery or left main lesion). Emergency coronary angiography, invasive blood pressure monitoring was 70/40 mmHg. Immediate intra-aortic balloon counterpulsation (Datascope CS100) support. Imaging shows: the left main