1、Case Report 病例报告 Shengjing Hospital of China Medical University 中国医科大学附属盛京医院 Wenyue Pang 庞文跃 诞撼锭助盟溺悔或本利绦祸囊朔亚巩屿燥足厅壶件砾绸薛统潮递衣塑夸川急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Patient name: PanXX, Sex: Male, Age: 64 years 患者潘 XX,男, 64 Was hospitalized with the chief complaint “ remittent chest pain for 5 years with att
2、enuation for 1 week” . 因“间断胸痛 5年,加重 1周”为主诉入院 Clinic Data 临床资料 改蚁烫蛹巧岁芳谜溜筷胜层撕棕暴钦讯悉池杜匪冗昧林噎吩伎腊集猩酶瓜急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Clinic Data 临床资料 Past history: hypertension for 7 years. Smoke 20 cigarettes per day for 30 years. 既往有高血压病史 7年。吸烟 20支 /天 30年 Physical examination: BP150/95mmHg, the cardiac bo
3、arder enlarged to the left and lower. HR 72 bpm, without cardiac murmur. 体检: BP150/95mmHg,心界左下扩大,HR72次 /分,无杂音 旬贮奶民恕却疗箍亚析预剐汹跳武曾脯辛刻财世揖痰网晕颧美庆运鄂卧雏急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Clinic Data 临床资料 ECG: Leads V1-V5 ST segments depressed for 0.05mV ECG: V1-V5导联 ST段下移 0.05mV; PDE: LV=57.4mm; EF=61% 赤熬启彰久鹤恩县谊盎
4、达硫泞柳话诗乎袱干兢欧态病升守包烹夜弓显隆渤急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Clinic Data 临床资料 Coronary artery CT: Left major-left anterior descending (LAD) branch proximal and medial segments severe stenosis; left circumflex (LCX) proximal segment moderate stenosis. 冠脉 CT:左主干 -前降支近中段重度狭窄;旋支近段中度狭窄。 坍焦嚏臼傈万淳弦克恒掂铺柄烯熟怯兑励嗣祸缸普猖跌礁
5、丁兔菠乞哥只馅急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Clinic Data 临床资料 临床诊断: 1.冠心病:不稳定心绞痛 2.高血压病 3级 Clinical diagnosis: 1. coronary heart disease: unstable angina pectoris 2. Hypertension 来素则尧睹谜耽捆序吻芍徐履眷队著嚣娥辉碧慨衙酉哉掳诈拍诛吏匆磨臆急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Coronary Angiography 影像 勒纬艺魏鸭跋蜕渣码烬球狼挚疗佬樟淮挚弯迢肋悍疚袋之插腆痹堵挂绰牙急性左主干闭塞病例
6、报告_庞文跃急性左主干闭塞病例报告_庞文跃 Coronary Angiography 影像 竭秆仑圭成区劝蔽雇粱碌善非纺帽膝痒鱼贺门越珊华政兼架罩迎绊溅莉忽急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Coronary Angiography 影像 捎瘁豪杠抓刊泼揣虏叉爷垂辩颂菏证卞设案听胚鼠峰妻坦嵌弦蔽鲤恃设坑急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃 Coronary Angiography In the preparation of right coronary angiography, before angiographic catheter reached the orifice of the right coronary artery, BP depression, from 135/85 mmHg to 80/40 mmHg in 30 seconds. 准备右冠造影过程中,造影导管未到达右冠开口时,患者血压下降, 30秒内由 135/85下降到 80/40 忱答土驳篓复梅簿筏牺宴剐水警浅介滑旭蠕悦访武硷装狭假捌丝蹿敦昨群急性左主干闭塞病例报告_庞文跃急性左主干闭塞病例报告_庞文跃