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1.病例介绍 患者女,61岁,以突发心前区压榨性疼痛2小时伴胸闷、憋气,服药后不能缓解而入院,既往高血压病,冠心病史8年,否认糖尿病病变。查体:T36.4C,P76次/分,R36次/分,BP13.3/8.3Kpa神志恍惚,对光反应迟钝,双肺听诊呼吸音正常,心界不大,心率76次/分,律齐。听诊第一心音减弱,无杂音、心电图、窦性心律,Ⅰ°房室传导阻滞,偶发室是Ⅱ、Ⅲ、aVF导联ST
1. Case description The female patient, 61 years old, with an acute precordial pressure pain 2 hours with chest tightness, suffocation, medication can not be relieved and admitted to hospital, previous hypertension, coronary heart disease history of 8 years, denied the diabetic lesions. Physical examination: T36.4C, P76 beats / min, R36 beats / min, BP13.3 / 8.3Kpa trance, unresponsive to light, lung auscultation breath sounds normal, heart, heart rate 76 beats / min, law Qi Auscultation first heart sound weakened, no noise, ECG, sinus rhythm, Ⅰ ° atrioventricular block, sporadic room is Ⅱ, Ⅲ, aVF lead ST