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心房颤动患者左心房血栓脱落致急性心肌梗死一例 被引量：2

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摘要 患者女性,80岁,因胸痛6h于2013年6月25日入院.患者入院时胸痛持续不能缓解,面色苍白,大汗淋漓.体检发现患者血压为88/62 mmHg（1 mmHg二0.133 kPa）,心率62次/min,两肺未闻及干湿哕音.心电图示Ⅱ、Ⅲ、aVF导联ST段抬高0.15～0.2 mV,V3R～ V5R导联ST段抬高0.1 mV,考虑“急性下壁及右心室心肌梗死”,予阿司匹林片300 mg嚼服和氯吡格雷300 mg口服,并予适当补液,多巴胺升压治疗.既往有高血压病史10年,最高血压180/112 mmHg,平时服用培哚普利片＋氨氯地平片治疗,血压控制尚可,另患者有心房颤动史5年,平时未服用抗栓药物.
作者 刘俊松 陈晓敏 杜为平 林少沂 王健 崔翰斌
机构地区 浙江省宁波市第一医院心脏中心
出处 《中华心血管病杂志》 CAS CSCD 北大核心 2014年第6期527-528,共2页 Chinese Journal of Cardiology
关键词 心房颤动患者 急性心肌梗死 左心房血栓 右心室心肌梗死 ST段抬高 AVF导联 高血压病史 升压治疗
分类号 R541.75 [医药卫生—心血管疾病]
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共引文献13

同被引文献13

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中华心血管病杂志
2014年 第6期

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