动静脉联合溶栓治疗右冠状动脉内巨大血栓成功1例报告
CHINESE JOURNAL OF THROMBOSIS AND HEMOSTASIS(2001)
Abstract
1 病例
患者,男,50岁,干部.入院前1周无明显诱因出现阵发性胸骨后疼痛,每于午饭后1小时发作,多为绞痛,无放散,持续约半小时至1小时,含服救心丸后约10分钟可缓解.就诊于当地医院,诊断为"心肌供血不足”,给"通心络”等药物治疗后无明显疗效.入院当日晨2时许上述症状再次发作,由睡眠中痛醒,未特殊治疗,1小时后症状自行缓解.患者既往吸烟30余年,20支/d,入院时BP 100/70 mmHg(13.3/9.3 kPa),P 60次/min,肥胖体型,心肺听诊无异常.入院时ECG示窦性心动过缓,Ⅱ、Ⅲ、aVF呈冠状T波,Ⅰ、aVL、V4~V6 T波倒置.心脏超声示左室中上段下壁心肌运动轻度减弱,左室舒张功能减低.
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