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患者牟××,男,56岁,因发作性心前区闷痛5天,加重2天,于1991年10月23口急诊入院。一、心电图报告 (一)第一次心电图(图一见加页)窦性心律,电轴左偏-1°,无明显ST—T改变。 (二)第二次心电图(图二见加页)I.AVL呈R型,T波倒置,ST段无明显改变,V-(1-2) rS型,V_(3-6)呈Rs型,无病理性Q波,TV_5深倒置,TV_(2-6)倒置,ST段斜下型压低1～3.0mm,结合病人剧烈心前区闷痛,持续30分钟至1小时,初诊:急性前壁非Q波型心肌梗塞。 (三)第三次心电图(图三见加页)V_(1-6)波形同上,无病理性Q波出现,TV_(2-4)倒置较前进一步加深,ST段斜下型下移1～3.0mm;TV_(5-6)倒置,ST段斜下
Mou × × patients, male, 56 years old, because of episodes of preoperative heartburn pain 5 days, increased 2 days, in October 1991 23 emergency department admission. First, the ECG report (a) the first electrocardiogram (see Figure 1 plus page) sinus rhythm, left axis deviation -1 °, no significant ST-T changes. (2) The second electrocardiogram (Figure II see plus page) I.AVL was R type, T wave inversion, ST segment no significant change in the V- (1-2) rS type, V_ (3-6) was Rs type , No pathological Q waves, TV_5 deep inversion, TV_ (2-6) inversion, ST-segment oblique type down 1 ~ 3.0mm, combined with patients with acute precordial borous pain, sustained 30 minutes to 1 hour, newly diagnosed: before acute Wall non-Q-wave myocardial infarction. (3) The third electrocardiogram (see Figure 3 plus page) V_ (1-6) waveforms above, no pathological Q wave appears, TV_ (2-4) inversion further deepened forward, ST segment oblique downward shift 1 ~ 3.0mm; TV_ (5-6) inverted, ST-segment oblique