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1 临床资料 男,40岁。间歇头昏乏力1周伴胸闷2d于1990年12月13日入院。近期有轻度感冒症状,但无其他感染表现。既往无特殊病史,半年前心电图检查正常。体检:T38℃,颈静脉轻度怒张,心界不大,心音低弱,未闻及心包摩擦音及异常杂音。化验室检查:白细胞5.7×10~9/N0.67,L0.32,M0.01;CK746IU/L,CK-MB 120IU/L,其他无异常。超声心动图亦无异常。心电图特征:12月13日ST除avR,V_1导联外,其余导联均抬高,尤以Ⅰ、Ⅱ、Ⅲ、avF,V_(4～6)明显,达0.225～0.55mV,抬高的ST前可见QRS综末S
1 clinical data Male, 40 years old. Intermittent dizziness 1 week with chest tightness 2d December 13, 1990 admission. Recently, mild cold symptoms, but no other infection performance. Past no special medical history, normal ECG six months ago. Physical examination: T38 ℃, mild jugular vein engorgement, little heart, low heart sound, no smell and pericardial frictional noise and abnormal noise. Laboratory tests: white blood cells 5.7 × 10 ~ 9 / N0.67, L0.32, M0.01; CK746IU / L, CK-MB 120IU / L, the other no abnormalities. Echocardiography was normal. ECG characteristics: December 13 ST addition to avR, V_1 lead, the other leads were elevated, especially Ⅰ, Ⅱ, Ⅲ, avF, V_ (4 ~ 6) significantly, reaching 0.225 ~ 0.55mV, elevated STS can be seen before the end of QRS S