马凡综合征并发不典型主动脉夹层1例

发布时间：2018-02-14 03:13

  本文关键词： 马凡综合征 典型主动脉夹层 长期吸烟史 急性冠脉综合征 入院体格检查 高血压病 电轴 窦性心律 血压 血常规　出处：《广东医学》2017年19期 　论文类型：期刊论文

【摘要】：正患者,男,37岁。2016年2月11日,因突发喉部发紧,头昏3 h入院。患者3 h前无明显诱因突发喉部发紧,头昏,眼冒金星,伴右上肢麻木发冷。无头痛,无恶心,呕吐。急诊入院后,CT示:颈部和食管未见异常。心电图示:窦性心律,电轴正常,V2导联ST段抬高0.1 m V。入院体格检查:体温36.6℃;脉搏61次/min,呼吸20次/min,血压(左上肢)100/60 mmH g。神清,高颧骨,四肢细长,心肺未见异常。既往否认高血压病、糖尿病史,有长期吸烟史,约10支/d。入院后诊断:疼痛原因待查,急性冠脉综合征。立即完善血常规、肝肾功
[Abstract]:The patient was 37 years old. In February 11th 2016, he was admitted to hospital for 3 hours because of sudden larynx. There was no obvious inducement to burst larynx, dizziness, dizziness, dizziness, numbness and chills in the right upper limb. There was no headache, no nausea, no nausea, no headache, no nausea. Vomiting. After admission to hospital, CT scan showed no abnormality in neck and esophagus. Electrocardiogram showed sinus rhythm, St segment elevation of lead V _ 2 in normal axis was 0.1 MV. Physical examination of admission: body temperature was 36.6 鈩，

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