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患者女性,76岁,因持续性剑突下疼痛11h伴恶心、呕吐入院.心电图示Ⅱ、Ⅲ、aVF导联ST段抬高,伴ST-T动态变化.血清心肌酶CPK22.6μmol·s~(-1)/L,GOT3367nmol·s~(-1)/L,LDH4.8μmol·s~(-1)/L,CPK-MB19.3%,LDH_(1)0.515,LDH_(2)0.281.诊断为急性膈面心肌梗塞.入院当日摸拟Ⅲ导联心电监护时连续记录的心电图(附图)示上行P_1—P_5的P-P间距长短交替,分别为0.72和1.08s,长间歇短于2个短间歇之和,为3:2文氏型窦房传出阻滞,根据基本周期=文氏周期等长间歇÷(R-R间
A 76-year-old female patient with nausea and vomiting undergoing persistent hypodermic pain for 11 hours was admitted to hospital.Electrocardiogram showed ST-segment elevation in ST segment of ST segment a and ST-T in group Ⅱ, Ⅲ and aVF.Serum myocardial enzyme CPK22.6μmol · s ~ (-1) / L, GOT3367nmol · s -1 / L, LDH4.8μmol·s -1, LCP-MB19.3%, LDH -1.515, LDH 2 0.281. Diagnosed as acute diaphragmatic myocardial infarction.Electrocardiogram recorded on the day of hospitalization Ⅲ lead ECG monitoring (with photos) showed upward P_1-P_5 PP pitch alternating length, respectively, 0.72 and 1.08s, long intermittent shorter than 2 A sum of short intervals, 3: 2 Wen’s sinoatrial block outbreak, according to the basic cycle = Wen’s cycle equal interval ÷ (RR interval