论文部分内容阅读
[病例]女,75岁。因咽喉部疼痛3小时,到门诊就诊,予对症治疗无效,疼痛呈进行性加重,并伴有烦躁不安,出汗,于2000年9月16日21时急诊入院。有高血压病史20余年。查体:体温36.7℃,脉搏78/min,呼吸21/min,血压158/105 mm-Hg。意识清楚,表情痛苦,咽喉部无红肿,双肺未闻及干湿性罗音,心界不大,心率78/min,律不齐,可闻早搏,心音弱,各瓣膜听诊区未闻及杂音。实验室检查:血白红细 5.4 ×109/L,中性粒细胞0.76,淋巴细胞0.23。天冬氨酸转氨酶449 U/L,乳酸脱氢酶620 U/L,肌酸激酶399 U/L,肌酸激酶同功酶325 U/L,羟丁酸脱氢酶727 U/L。心电图示:窦性心律,V1～V6导联段呈弓背抬高0.1～0.4 mV,T波倒置,室性早搏。确诊为急性前
[Case] Female, 75 years old. Due to throat pain for 3 hours to the clinic, to symptomatic treatment ineffective, progressive pain increased, and accompanied by irritability, sweating, at 21 o’clock on September 16, 2000 emergency room admission. Have a history of hypertension more than 20 years. Physical examination: body temperature 36.7 ℃, pulse 78 / min, breathing 21 / min, blood pressure 158/105 mm-Hg. Consciousness, expression pain, no swelling of the throat, lungs unhealthy and wet and dry rales, heart is not, heart rate 78 / min, irregular, can be premature beat, weak heart sounds, the valve auscultation area did not smell Noise. Laboratory tests: white blood red fine 5.4 × 109 / L, 0.76 neutrophils, lymphocytes 0.23. Aspartate aminotransferase 449 U / L, lactate dehydrogenase 620 U / L, creatine kinase 399 U / L, creatine kinase isozyme 325 U / L, hydroxybutyrate dehydrogenase 727 U / L. Electrocardiogram: sinus rhythm, V1 ~ V6 lead segment was raised arch 0.1 ~ 0.4 mV, T wave inversion, ventricular premature beats. Confirmed as acute before