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1病例资料患者,男,66岁。因“突发憋喘2h”于2016年5月8日17∶53入院。患者2h前活动中突发憋喘,无胸痛及左臂、颈部、下颌及后背部放射痛。无心悸,无出汗、恶心、呕吐,无发热、咳嗽、咳痰及咯血,无头晕、晕厥。憋喘持续不缓解,急来我院急诊就诊,心电图示:窦性心动过速,室性期前收缩,AVR、V1导联ST段抬高约0.1mV,Ⅱ、Ⅲ、AVF导联ST段下移、T波倒置,有S_ⅠQ_(Ⅲ)T_(Ⅲ),胸前导联低电压(图1)。胸部CT示慢性支气管炎、肺气肿表现。既往“高血压”病史3年,收缩压最高200mmHg(1mmHg=0.133kPa),平时服用“利血平2片或1片,qd”治疗,血压不详。“脑梗死”病史半
1 case information patients, male, 66 years old. Due to “sudden suffocation 2h ” on May 8, 2016 17:53 admission. Patient 2h before the sudden onset of wheezing, no chest pain and left arm, neck, jaw and back radiate pain. No palpitations, no sweating, nausea, vomiting, no fever, cough, expectoration and hemoptysis, no dizziness, syncope. EMG, V1 lead ST segment elevation of about 0.1mV, Ⅱ, Ⅲ, AVF lead ST segment Down, T wave inversion, with S_ⅠQ_ (Ⅲ) T_ (Ⅲ), chest lead low voltage (Figure 1). Chest CT showed chronic bronchitis, emphysema performance. Previous “hypertension” history of 3 years, systolic blood pressure up to 200mmHg (1mmHg = 0.133kPa), usually taking “reserpine 2 or 1, qd ” treatment, blood pressure is unknown. “Cerebral infarction ” half history