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患者,男,42岁,患者入院1小时前大量饮酒后突然出现胸痛,,呈持续性较剧烈,为胸骨后压榨样疼痛,,向左上肢放射,伴周身大汗、乏力、频死感,恶心、呕吐2次,呕吐物为胃内容物,心电图示:V1-V4 ST段抬高0.3-0.5mv示:急性前壁心肌梗塞。急诊以“急性前壁心肌梗塞”于2014.8.12收入院。入院查体:T36.7度,P100次/分,R18次/分,BP139/80mm Hg,急性病容,口唇无紫绀,颈静脉无怒张,双肺呼吸音粗,未闻及干湿性啰音,心界不大,心率100次/分,律齐,无杂音,腹部平软,无压痛及反跳痛,双下肢无浮肿。
Patients, male, 42 years old, 1 hour before admission, a large number of patients with sudden onset of chest pain after drinking, was more persistent than the pressure after the sternum pain, the left upper extremity radiation, with the body sweating, fatigue, frequent death, Nausea, vomiting 2 times, vomit for the stomach contents, ECG: V1-V4 ST segment elevation 0.3-0.5mv showed: acute anterior myocardial infarction. Emergency room “” acute anterior myocardial infarction "in 2014.8.12 income hospital. Admission examination: T36.7 degrees, P100 beats / min, R18 beats / min, BP139 / 80mm Hg, acute disease, lips cyanosis, no jugular vein engorgement, lung breath sounds thick, unheard of and wet and dry Sound, the heart is not big, heart rate 100 beats / min, Law Qi, no noise, flat soft, no tenderness and rebound tenderness, no swelling of both lower extremities.