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患男,48岁。以吞咽不适,咽喉部异物感1d于1994年5月16日入院。发病前无异物嵌入史。查体:心率62次/min,心律整齐,第一心音减弱,各瓣区未闻及杂音。腹部检查正常。食道吞钡示上消化道无异物;纤维胃镜检查:食道正常,慢性浅表性胃炎。胸片及心脏超声均正常;心电图示:V_1～V_3呈QS型,ST段抬高0.2～0.3mv,为急性前间壁心肌梗塞图像改变。入院后查心肌酶谱CK1 124U/L,CK—MB 130U/L,AST896U/L,LDH758U/L。临床诊断:急性前间壁心肌梗塞。按急性心肌梗塞治疗。往院期间定时检测心肌酶谱,1周后除LDH外,余均正常,心肌酶谱演变与急性心肌梗塞病程相符。往院达28d痊愈出院。
Male, 48 years old. To swallowing discomfort, throat foreign body sensation 1d on May 16, 1994 admission. Before the onset of foreign body embedded history. Physical examination: heart rate 62 beats / min, tidy heart rhythm, the first heart sound weakened, the lobe area did not smell and noise. Abdominal examination is normal. Barium in the esophagus showed upper gastrointestinal tract no foreign body; fiber endoscopy: normal esophagus, chronic superficial gastritis. Chest X-ray and cardiac ultrasound were normal; ECG showed: V_1 ~ V_3 were QS type, ST elevation 0.2 ~ 0.3mv, for the image of acute anterior myocardial infarction changes. After admission, check myocardial enzymes CK1 124U / L, CK-MB 130U / L, AST896U / L, LDH758U / L. Clinical diagnosis: acute anterior myocardial infarction. According to the treatment of acute myocardial infarction. Myocardial enzymes were regularly detected during the hospital stay, except for LDH one week later, all were normal, myocardial enzymes evolve in line with the course of acute myocardial infarction. Up to 28d hospital discharged.