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例1 男患,47岁。5天前因载重上下坡时,突然感到心前区闷痛,伴气短、全身出冷汗、有频死感,约10分钟症状缓解。ECG示慢性冠状动脉供血不足。近半年来曾有2次类似发作。查体:B p 15.3/9.33 KPa,HR85次/分,心肺(一)ECG示慢性冠脉供血不足,UCG示左室功能减弱,蹬车试验阳性,Holrer示ST段下移<1 mm总计41分钟。发生于上、下山时。胸片:心肺正常,血脂、血糖均正常。冠脉造影;右优势型正常冠状动脉。给极化液静滴,口服消心痛,心痛定及丹参片治疗,症状消失出院。
Example 1 male suffering, 47 years old. 5 days ago due to load on the downhill, suddenly felt boring in front of the area, with shortness of breath, the body out of cold sweat, a frequency of death, about 10 minutes to relieve symptoms. ECG showed chronic coronary insufficiency. In the past six months, there have been two similar attacks. Examination: B p 15.3 / 9.33 KPa, HR 85 beats / min, cardiopulmonary (1) ECG showed chronic coronary insufficiency, UCG showed decreased left ventricular function, pedaling test was positive Holler showed ST segment down <1 mm Total 41 minute. Occurs in the downhill. Chest X-ray: normal heart and lung, blood lipids, blood glucose were normal. Coronary angiography; right dominant coronary artery. To the intravenous infusion of fluid, oral anti-heartache, painkillers and Danshen tablets treatment, the symptoms disappeared from the hospital.