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患者;赵×,女,63岁,病历号:890958。于1989年8月21日下午突感头晕、头痛、胸闷,家人发现精神萎靡,急来本院。经心电图检查示 PⅠⅡAVF 高尖,ST_(Ⅰ、Ⅱ、ⅢaVR),V_4-V_6明显压低,ST_(aVR)抬高;T_(Ⅰ、Ⅱ、ⅢaVR),aVF、V_5、V_6呈双向诊为急性心内膜下心肌梗塞收入心内科监护室。患者既往有高血压史10余年。入院时查体 BP24/14KPa,神清,颈无抵抗,头面部无异常,心率80分/分,律齐,双肺呼吸音清晰,无罗音。肝、脾未触及。四肢活动自如,未引出病理征。按急性心肌梗塞常规给予静脉点滴菌萄糖波液及复方丹参注射液,吸氧等治疗。但患者意识渐转朦胧,并出现左侧鼻唇沟变浅,口角歪斜。呼吸浅速,颈项强硬,经神经内科会诊,为脑干出血。后病情急剧变化,
Patient; Zhao ×, female, 63 years old, medical record number: 890958. In the afternoon of August 21, 1989 Sudden dizziness, headache, chest tightness, family members found apathetic, anxious to our hospital. The electrocardiogram showed that the peak of PⅠⅡAVF, ST_ (Ⅰ, Ⅱ, ⅢaVR), V_4-V_6 significantly decreased, ST_ (aVR) increased; T_ (Ⅰ, Ⅱ, ⅢaVR), aVF, V_5, Endocardial myocardial infarction income cardiology care unit. Patients with previous history of hypertension more than 10 years. Admission examination of the body BP24 / 14KPa, God clear, neck no resistance, no abnormalities in the head and face, heart rate 80 points / min, law Qi, lungs breath sounds clear, no rales. Liver, spleen not touched. Feet freely, did not lead to pathological sign. Acute myocardial infarction by routine intravenous drip of glucose solution and compound Salvia injection, oxygen and other treatment. However, patient awareness gradually dimmed, and the left nasolabial fold shallow, mouth skew. Breathing shallow speed, neck tough, by neurology medical consultation, bleeding for the brainstem. After a drastic change in condition,