急性局限性(真正的)后壁心肌梗塞国内王蕾礼等报告一例,每因心肌损害面狭小,常规心电图影响亦小而易漏诊。1974年初本院亦发现一例,现报导如下。病历摘要:女,60岁,住院号311237。因胸前区持续性剧痛8小时,于1975年4月2日11时入院。入院前一天下午4时许,感胸前区持续性翳闷不适,恶心,呕吐,未经治疗。入院当天凌晨4时许,突然胸前区持续压榨样疼痛,心悸,大汗淋漓,全身冰冷,频繁恶心呕吐,呕吐物为食物残渣,无腹痛及腹泻。7时来院急诊,血压170/110毫米汞柱。诊断“高血压冠心病心绞痛”。舌下含三硝酸甘油片无效。回家休息疼痛未缓解,频繁恶心呕吐。再来院急诊血压下降至70/0毫米汞柱,肌注间羟胺20毫克,即检查心电图提示急性局限性后壁心肌梗塞而入院。过去史:1974年发现有高血压。体检血压95/80毫米汞柱,面色苍白, Acute limitations (real) posterior wall myocardial infarction, such as domestic Wang Lei ceremony report a case of myocardial damage due to each small, conventional ECG is also small and easy to miss. Our hospital also found an example in early 1974, which is reported below. Medical record summary: Female, 60 years old, hospital number 311237. Due to persistent chest pain area 8 hours, at 11:00 on April 2, 1975 admission. 4 o’clock in the afternoon before admission, chest continuous chest feeling uncomfortable, nausea, vomiting, untreated. 4 o’clock on the day of admission, chest area continued to suddenly press-like pain, palpitations, sweating, cold, frequent nausea and vomiting, vomit food residue, no abdominal pain and diarrhea. 7 o’clock emergency hospital, blood pressure 170/110 mm Hg. Diagnosis of “hypertensive coronary heart disease angina”. Sublingual triglyceride tablets invalid. Home to rest pain did not ease, frequent nausea and vomiting. Come back to hospital emergency blood pressure dropped to 70/0 mm Hg, intramuscular injection of hydroxylamine 20 mg, that check ECG prompted acute limitations posterior wall myocardial infarction and admission. Past history: High blood pressure was found in 1974. Physical examination blood pressure 95/80 mm Hg, pale,