论文部分内容阅读
1 病例 患者男,68岁。因胸闷、心前区疼痛2天入院。查体:T36.5℃,BP23/10kPa,心肺腹部正常。ECG示窦性心律,心电轴-1°,心肌缺血,其余各项实验室检查正常,诊为冠心病、心绞痛。处理:10％葡萄糖250ml,硝酸甘油10mg iv drip持续72小时后改为qd,生理盐水250ml,蝮蛇抗栓酶1.0u iv drip qd,同时吸氧,口服地奥心血康、长效消心痛等。经治疗心前区疼痛症状缓解。住院第10天,准备治疗结束后出院,在静滴NS+蝮蛇抗栓酶过程中出现寒战,发热(T39℃)等液体反应症状,随之出现持续性胸痛,憋气症状,血压6.7/5kPa,急给相应处理,并心电图检查示急性下后壁心梗,转入CCU病房,相继出现房性及室性心律失常,按急性心肌梗塞
1 case patient male, 68 years old. Due to chest tightness, precordial pain 2 days admitted. Physical examination: T36.5 ℃, BP23 / 10kPa, cardiopulmonary abdominal normal. ECG showed sinus rhythm, cardiac axis -1 °, myocardial ischemia, the rest of the laboratory tests were normal, diagnosed as coronary heart disease, angina. Treatment: 10% glucose 250ml, nitroglycerin 10mg iv drip changed to qd 72 hours later, saline 250ml, viper antithrombin enzyme 1.0u iv drip qd, while oxygen, orally Austrian blood, long-acting anti-heartache and so on. After treatment of precordial pain relief. On the 10th day of hospitalization, the patients were discharged after the treatment was ready. Symptoms such as chills and fever (T39 ° C) occurred during the intravenous infusion of NS + viper antithymosinase, accompanied by persistent chest pain, suffocation symptoms, blood pressure 6.7 / 5kPa, Urgent to the appropriate treatment, and ECG showed acute posterior wall myocardial infarction, into the CCU ward, have appeared atrial and ventricular arrhythmia, according to acute myocardial infarction