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患者男,25岁。因反复发作胸痛15h,加重3h入院。入院15h前间断出现胸骨后痛,为持续性闷痛,每次发作持续1h左右,可完全自行缓解,伴出汗、气短,无放散痛,伴腹泻。自服头孢类抗生素、止泻药(具体药名剂量不详),腹泻无好转,于3h前胸痛加重,持续发作,伴有气短,急来我院急诊就诊。心电图示:Ⅰ、Ⅱ、Ⅲ、avF导联ST段抬高0.1～0.3mV,avR导联ST段下移0.15mV。拟诊“急性心肌梗死”收入心内科。患者既往有丙型肝炎病史,否认吸烟、饮酒史。
Male patient, 25 years old. Due to recurrent chest pain 15h, increased 3h admission. 15h before admission interrupted sternal pain, persistent dull pain, each attack lasted about 1h, can be completely self-remission, with sweating, shortness of breath, no radiating pain, with diarrhea. Self-serving cephalosporins antibiotics, antidiarrheal drugs (specific drug name dose unknown), diarrhea no improvement in 3h before chest pain worsened, sustained attack, accompanied by shortness of breath, urgent emergency treatment in our hospital. ECG shows: Ⅰ, Ⅱ, Ⅲ, avF lead ST segment elevation 0.1 ~ 0.3mV, avR lead ST segment down 0.15mV. To be diagnosed “Acute myocardial infarction ” income cardiology. Past history of patients with hepatitis C, denied smoking, drinking history.