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患者女性,56岁,农民。于1983年10月14日因肌萎缩住我院神经内科,入院第2天下午突然感到心前区疼痛,胸闷。既往有高血压、脑血栓病史,血压波动在20～22.7/13.3～16 kPa。体检:体温不升,BP14.7/9.33 kPa,神清,心脏心界向左扩大,心率92次/分,律齐,无明显病理性杂音。10月15日下午心电图描记为急性膈面及前壁广泛性心肌梗塞合并心房梗塞。当日晚病人解大便后突然面色苍白、大汗淋漓,呼吸困难,心律快慢不等,BP9.33/6.67 kPa,经抢救后病情略为好转,因家属放弃治疗而自动出院。
Female patient, 56 years old, farmer. In October 14, 1983 due to muscle atrophy in our hospital neurology, the afternoon of the second day of admission suddenly felt precordial pain, chest tightness. Past history of hypertension, cerebral thrombosis, blood pressure fluctuations in 20 ~ 22.7 / 13.3 ~ 16 kPa. Physical examination: body temperature does not rise, BP14.7 / 9.33 kPa, Shen Qing, left heart heart expanded, heart rate 92 beats / min, law Qi, no obvious pathological murmur. On the afternoon of October 15, the electrocardiogram was described as acute diaphragmatic and anterior myocardial infarction with extensive myocardial infarction. On the day of the night, the patient suddenly pale, sweating, difficulty breathing and fluctuating heart rate after relieving the stool. BP9.33 / 6.67 kPa, the condition was slightly improved after rescuing, and the patients were discharged due to the abandonment of treatment.