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继发于主动脉夹层的急性心肌梗死一例

发布时间:2018-05-26 09:39

  本文选题:主动脉夹层 + 急性心肌梗死 ; 参考:《中国循环杂志》2016年11期


【摘要】:正1临床资料患者,男性,62岁,因"突发胸痛、腹痛30 min"于2015-12-21来诊。自述为剧烈胸骨后压榨样疼痛,伴上腹痛,无后背撕裂样疼痛,无其他放射痛,伴大汗淋漓,持续30 min无缓解。既往有"高血压3级,很高危、上消化道出血"病史。有长期大量吸烟史。查体:体温36.2℃,脉搏88次/min,呼吸20次/min,血压130/70 mm Hg(1 mm Hg=0.133k Pa)。神志清,体型偏胖,痛苦面容,双肺呼吸音清,未闻
[Abstract]:Zheng 1 clinical data, male 62 years old, due to "sudden chest pain, abdominal pain 30 min" in 2015-12-21. It was described as severe post-sternal squeezing pain, with upper abdominal pain, no back tear pain, no other radiation pain, sweating dripping, lasting 30 min without remission. Had a history of grade 3 hypertension, high risk, upper gastrointestinal bleeding. Has a long history of heavy smoking. Body examination: body temperature 36.2 鈩,

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