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陈某,男,68岁,退休工人,有冠心病史12年,经常胸闷,脚痛,劳累及生气后加重,经常自取消心痛、心宝,病情稳定。1994年12月25日8am,因劳累胸闷,胸痛复发,胸痛以胸骨后明显,呈针刺样,压榨感,持续3小时,舌下含化硝酸甘油不能缓解,伴有心慌、乏力、汗出、口唇紫暗,口干,心烦、失眠,于当日11am入院。查体:T36.1C,P105次/分,R25次/分BP17/10Kpa神志清,精神不振,双肺(一)心界不大,心率105次/分,律不齐,闻及早搏,各办膜区未闻有病理性杂音,腹软,肝脾不大,余(一)心电图示:急性前壁心肌梗塞,心电监护示:频发性多源性室早,成对出现,呈短阵室速。GoT87u,血尿便常规正常。诊断:中医:真心痛,心悸,西医:急性前壁心肌梗塞,频发性多源性室早,短阵室速。入院后给予吸O_2,口服扩冠药物,消心痛,心痛定,
Chen, male, 68 years old, retired worker, has a history of coronary heart disease for 12 years. He often has chest tightness, foot pain, aggravated after getting tired and getting angry. December 25, 1994 8am, due to fatigue chest tightness, recurrent chest pain, chest pain was obvious after the sternum, acupuncture-like, squeeze feeling for 3 hours, sublingual nitroglycerin can not be alleviated, accompanied by palpitation, fatigue, sweating , Dark purple lips, dry mouth, upset, insomnia, 11am admitted to the same day. Physical examination: T36.1C, P105 beats / min, R25 beats / min BP17 / 10Kpa clear mind, lack of energy, lungs (a) the heart is not big, heart rate 105 beats / min, Film District unheard of pathological murmur, abdominal soft, small spleen and liver, Yu (a) ECG: acute anterior myocardial infarction, ECG monitoring showed: frequent multi-source room early and in pairs, was Temporary VT. GoT87u, hematuria is normal. Diagnosis: Chinese medicine: true heartache, palpitations, Western medicine: acute anterior myocardial infarction, frequent multi-source ventricular early and short-term VT. After admission to give O_2, oral crown medicine, anti-heart pain, painkillers,