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1病例资料患者,女,78岁,因胸闷痛1h入院,既往有糖尿病和高血压病史,血糖和血压控制理想,2009年与2010年分别行前降支(LAD)、左回旋支(LCX)和右冠状动脉(RCA)PCI术。入院时心电图示窦性心律,Ⅱ、Ⅲ、aVF、V3R-V5RST段抬高0.1~0.2mV,肝肾功能、心肌酶正常,肌钙蛋白I(cTnI)28.42ng/ml,诊断:1冠状动脉粥样硬化性心脏病急性ST段抬高型心肌梗死(下壁+右室),PCI术
A case data, female, 78 years old, hospitalized for 1 hour due to chest pain, had a history of diabetes and hypertension, ideal control of blood glucose and blood pressure. In 2009 and 2010, patients underwent anterior descending (LAD), left circumflex (LCX) And right coronary artery (RCA) PCI. Ventricular electrocardiogram showed sinus rhythm, Ⅱ, Ⅲ, aVF, V3R-V5RST segment elevation of 0.1 ~ 0.2mV, liver and kidney function, normal myocardial enzymes, troponin I (cTnI) 28.42ng / ml, diagnosis: 1 coronary artery Acute ST-segment elevation myocardial infarction (lower wall + right ventricle) of atherosclerotic heart disease, PCI