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患者,女性,47岁。主因左侧肢体无力,嗜睡2天就诊。体检:BP20/11kPa,T37.8℃,P80次/分。既往史:末测过血压,否认心脏病史。患者头部CT示:右基底节区脑出血破入脑室系统。收神经内科住院治疗,入院第2天查ECG示:ST_(Ⅱ、Ⅲ、aVF)斜形下移,T_1低平,T_(Ⅰ、Ⅱ、aVF、V_3、V_5)负正双向。入院第31天患者诉心慌,查ECG示T波aVR直立,V_1正负双向,T波Ⅱ、Ⅲ、aVF倒置,T波倒置深度为0.3～0.5mV,(?)倒置深度为0.9～2.0mV。初步诊断为无Q波心肌梗塞,给予扩冠、极比液及钙拮抗剂,少量抗凝治疗,病情逐渐平稳,转内科治疗。
Patient, female, 47 years old. The main left limb weakness, drowsiness 2 days treatment. Physical examination: BP20 / 11kPa, T37.8 ℃, P80 beats / min. Past history: blood pressure measured at the end, denied a history of heart disease. Patient head CT showed: right basal ganglia hemorrhage broken into the ventricular system. In the second day of hospital admission, ECG showed that ST_ (Ⅱ, Ⅲ, aVF) diagonally downward, T_1 low, and T_ (Ⅰ, Ⅱ, aVF, V_3, V_5) negative and positive. On the 31st day of admission, the patient complained of palpitation. The ECG showed T wave aVR upright, V_1 positive and negative bidirectional, T wave Ⅱ, Ⅲ, aVF inversion, T wave inversion depth 0.3 ~ 0.5mV, . Initial diagnosis of Q wave myocardial infarction, giving crown, pole than fluid and calcium antagonists, a small amount of anticoagulant therapy, the condition gradually stable, turn medical treatment.