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男患,56岁.1987年6月26日下午入院。当天上午因受凉,中午开始发热,体温高达39℃,全身酸痛伴轻咳,3小时后感胸骨后呈持续性痛,服硝酸甘油片不能缓解。患者一年前曾患急性下壁、前壁心肌梗塞。查体,T39℃,Bp18.7/12.kPa.一般情况尚佳,呼吸平稳,口唇无紫绀,颈静脉无怒张,心音低钝,律齐,心率102次,各瓣膜听诊未闻及病理性杂音,左肺底少许湿啰音,余无特殊发现.血象WBC14.6×10~9/L,N0.88,L0.12.心电图示Ⅱ、Ⅲ,aVF呈Qr型、V_(1～2)呈rS型,V_(3～5)呈QS型,V_6呈Qr型(原EKG示V_5呈qRs型,V_6呈qR型)STv_(3～4)上移0.3～0.4mv,Tv_(2～3)由双相变直立,Tv_(5～6)由倒置变直立(图1)。经用
Male suffering, 56 years old. June 26, 1987 afternoon admission. The morning due to cold, noon began to fever, body temperature up to 39 ℃, body aches with light cough, 3 hours after the chest was sustained pain, service nitroglycerin tablets can not be alleviated. A patient had an acute inferior wall a year ago, anterior myocardial infarction. Physical examination, T39 ℃, Bp18.7 / 12.kPa. The general situation is good, stable breathing, cyanotic lips, jugular vein without tension, low heart sound blunt, law Qi, heart rate 102 times, the valve auscultation and pathology Sexual noise, a little wet rales left lung bottom, I found no special blood with WBC14.6 × 10 ~ 9 / L, N0.88, L0.12 ECG Ⅱ, Ⅲ, aVF was Qr type, V_ (1 ~ (3 ~ 5) was QS type, V_6 was Qr type (the original EKG showed V_5 was qRs type, V_6 was qR type) STv_ (3-4) shifted 0.3 ~ 0.4mv, Tv_ (2) ~ 3) from the two-phase change upright, Tv_ (5 ~ 6) upright by the inversion (Figure 1). Used