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患者女、86岁,因“纳差2月”就诊。入院诊断:慢性胆囊炎、胆石症、高血压病3级极高危组、冠状动脉粥样硬化性心脏病、脑梗后遗症。患者住院期间,因饮食不当突发腹痛、呕吐,出现意识不清、呼之不应、气促等症状。查体:心率120次/分,律不齐,腹膨隆,四肢末梢紫绀,皮肤呈花斑样,血压测不出,动脉搏动较弱。实验室检查:血淀粉酶1043u/L↑;肌红蛋白138ng/ml↑,肌钙蛋白(-),CKMB正常。腹部超声及CT诊断:急性胰腺炎、慢性胆囊炎、胆石症。心电图诊断(图1):窦性
Female patient, 86 years old, due to “anorexia February ” treatment. Admission diagnosis: Chronic cholecystitis, cholelithiasis, hypertension 3 extremely high risk group, coronary atherosclerotic heart disease, cerebral infarction sequelae. Patients during hospitalization, due to improper diet burst abdominal pain, vomiting, there was unconscious, call should not, shortness of breath and other symptoms. Physical examination: heart rate 120 beats / min, irregular armpit, abdomen bulging, cyanotic peripheral limbs, the skin was spotted, blood pressure can not be measured, arterial pulse is weak. Laboratory tests: blood amylase 1043u / L ↑; myoglobin 138ng / ml ↑, troponin (-), CKMB normal. Abdominal ultrasound and CT diagnosis: acute pancreatitis, chronic cholecystitis, cholelithiasis. ECG diagnosis (Figure 1): sinus