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右冠状动脉痉挛致急性下壁心肌梗死1例

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摘要 病历资料患者,男,57岁,有吸烟史20余年,约20支/日,因突然胸痛4小时来诊,伴有胸闷及肩背部不适,症状持续不缓解,含化＂速效救心丸＂效果不佳。查体：BP130/80mmHg,双肺呼吸音清晰,无干、湿性啰音,心率66次/分,心律规整,心音有力,各瓣膜听诊区未闻及病理性杂音。
作者 桑洪军 耿晓倩
机构地区 山东寿光市人民医院心内一科
出处 《中国社区医师（医学专业）》 2013年第2期242-243,共2页
关键词 急性下壁心肌梗死 冠状动脉痉挛 速效救心丸 病理性杂音 病历资料 背部不适 症状持续 肺呼吸音
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献6

  • 1陈灏珠.心脏病学[M].北京：人民卫生出版社,2002.414.
  • 2Yasue H, Kugiyama K. Coronary spasm: clinical features and pathogenesis[ J]. Intern Med, 1997,36 ( 11 ) :760 - 765.
  • 3阮云军,向定成,邱建,张金霞,张萍,龚志华.冠状动脉痉挛患者血清一氧化氮含量的变化[J].心肺血管病杂志,2005,24(1):11-12. 被引量：22
  • 4向定成,洪长江,龚志华,何建新,马骏,邱建.冠状动脉痉挛的血管造影和血管内超声特征[J].中华超声影像学杂志,2005,14(1):5-8. 被引量：32
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二级参考文献15

  • 1Hong MK, Park SW, Lee CW, et al. Intravascular ultrasound findings of negative arterial remodeling at sites of focal coronary spasm in patients with vasospastic angina. Am Heart J, 2000,140:395-401.
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中国社区医师（医学专业）
2013年 第2期

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