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我院于近期成功救治一例急性下壁、正后壁、右心室心肌梗塞合并严重血液动力学变化的患者。现报道如下:1临床资料患者,女性,72岁,因“间断头晕、心悸,伴双下肢乏力一月”于2006-5-8就诊。入院查体:T:36.5℃,P:60次/分,R:20次/分,BP:140/80mmHg。心肺听诊(一),心电图示:窦性心律,心电轴-38°,QRS波群:I、avL呈qR型,Ⅱ、Ⅲ、avF呈rS型,SⅢ>SⅡ。既往患有陈旧性脑梗塞五年,高血压史五年,血压最高可达180/80mmHg,规律服用“降压0号”,血压控制良好,右眼青光眼术后五年,否认近期出血史及手术史。
Our hospital in the recent successful treatment of a case of acute inferior wall, posterior wall, right ventricular myocardial infarction with severe hemodynamic changes in patients. Are reported as follows: 1 clinical data of patients, women, aged 72, due to “intermittent dizziness, palpitations, accompanied by weak legs in January” in 2006-5-8 treatment. Admission examination: T: 36.5 ℃, P: 60 beats / min, R: 20 beats / min, BP: 140 / 80mmHg. Heart and lung auscultation (a), ECG: sinus rhythm, ECG axis -38 °, QRS wave group: I, avL was qR type, Ⅱ, Ⅲ, avF was rS type, S Ⅲ> S Ⅱ. Previously suffering from old cerebral infarction for five years, five years history of hypertension, blood pressure up to 180 / 80mmHg, regular taking “blood pressure 0”, good blood pressure control, right eye glaucoma five years after surgery, deny recent history of bleeding and Surgery history.