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患者 男、61岁,因间断心前区疼痛10天、加重2小时,于1992年12月23日入院。于10天前始觉心前区疼痛。入院前2小时呈持续性疼痛,伴大汗而就诊。查体:血压16.0/9.3kPa,神志清,双肺呼吸音清晰,心浊音界向左侧扩大,心率76次,律齐低钝,未闻及杂音。肝脾未触及,双下肢无水肿。实验室检查:血常规:白细胞10×10~9/L,中性0.78,淋巴0.22。血糖:4.8mmol/L。ESR:12mm/h。胆固醇:6.1mmol/L,甘油三酯:1.12mmol/L。GOT:105U,LDH:550U。心电图示:TV_1～V_5和TI、TaVL倒置。住院后倒置T波逐渐加深,6天后心前导联最深倒置T波达35mm,无病理性Q波。从发病至T波明显恢复时间共28天。入院后给予极化液、溶栓、抗凝及钙离子拮抗剂等治疗,住院30天病情好转出院。
The patient, male, 61 years old, was admitted to hospital on December 23, 1992, due to intermittent anterior precordial pain for 10 days and exacerbation of 2 hours. Pre-cardiac pain was felt 10 days ago. 2 hours before admission showed persistent pain, accompanied by sweat and treatment. Physical examination: blood pressure 16.0 / 9.3kPa, clear consciousness, clear breath sounds of both lungs, heart dullness to the left to expand, heart rate 76 times, law Qi low blunt, no smell and noise. Liver and spleen not touched, no lower extremity edema. Laboratory tests: blood: white blood cells 10 × 10 ~ 9 / L, neutral 0.78, lymph 0.22. Blood sugar: 4.8mmol / L. ESR: 12mm / h. Cholesterol: 6.1 mmol / L, Triglyceride: 1.12 mmol / L. GOT: 105U, LDH: 550U. ECG: TV_1 ~ V_5 and TI, TaVL upside down. Inverted T-wave hospitalization gradually deepened, 6 days after the deepest anterior lead inverted T-wave up to 35mm, no pathological Q waves. From onset to T wave significantly recovery time a total of 28 days. After admission to give polarized fluid, thrombolytic, anticoagulant and calcium antagonists and other treatment, hospitalization 30 days condition improved discharge.