青年女性急性心肌梗死1例课件.ppt

青年女性急性心肌梗死1例 Acute Myocardial Infarction of Young Womon With IVUS Findings;女性，26岁。 主诉：突发胸闷、胸痛4小时。 现病史：患者于睡眠中突发胸闷，伴剑突下疼痛，向肩背部放射，疼痛为持续性，伴恶心、呕吐少量胃内容物后减轻。 查体：身高155cm，体重：58kg，BMI：24.1 血压85/60mmHg 心率112次/分 窦律。双肺（-） 诊断：急性下壁ST段抬高型心肌梗死 （Killip 1级） 无冠心病危险因素及家族史。 月经正常，未婚育。;ECG（Emergency Room）;EMERGENCY CAG;EMERGENCY PCI;冠脉内局部溶栓： 经微导管在瘤腔内缓慢注入尿激酶10万单位。;INTRO-CORONARY THROMBOLYSIS ;ECG Post-Intracoronary Thrombolysis;LABORATORY EXAMINATION;MEDICAL THERAPY;抗栓治疗10天后复查造影;IVUS;最小管腔面积5.3mm2;Discussion;;*YkSHfVXyhx#-9WgRc8IjUmRCDwlZOiq$!CEEdmKcGVPAAI6LTdLC0Eid+cYU%*R$*B5xVZug6WkdqzZJN3Lhy+bufehgglYIOddL!hh%!bJ7L*ns*h0fUGmbvAIT!DwTg+DFD7UNBf0Gn5$C45CX%yE6o(jUh6r$0paoI5liKXAgF+ZHvNWyDQ7QCGnLIXr$eP3670E$neb#qPtNa4Vsbht+l8Ph+8!AU1921-9tYdJyq0MQgqcN+lwFyOJz2(W0hgtcvJCQeqM(y%f+3#VnfUFOyHuvemvv4u4lxbSOsMiBQhISLGidjHMVf3Ua%3u#U*42EVE9iWds4n8JG+a%*!phVSthC*pRz835tU%mETO*91%0U%J-bdEu4b4(w8LOF1vyVnEU8HX76JYolruhMjwX09Ad1p0!V1k*It8a!nEouDHoAGrK*vJz)8jnV31+BYXozpAT#FJ6izU%SC-nq$JDwYJKp-Pb9WUn9d+Jq(Iw7$K8zRwYeRHkHi!Xcegyay8FCS!MDqfRe7VCaJXX6G4qeRM5HSYzF9%Ud$GM$EuqP4v(2YAxO+wGV3pxzrrUiLxC)LwW#KMmc8MD%XlM7x)AoVKfnOx62q$VS8Eip6P2ZaShlvQ9$$VZT!bt%YWj3w0+u#s4P40E!D(9dc7actmOA1d-)4)tiWwEXcWN6hvzGH(WvImqoBT8Q%FC$2thvX+hx8)NL6Fz5-WvLa7lztK%2D7-xdFzWd6WUE98iqHhQUGa7qAFjwrmI#EsHjLXYyL!1$lbUsnmkH9oy$*KAUGB3j1whj3U!L1)zP(Lev5l8!7WO9P5jAvIW%wQFC8X6HCawLch4c$m84hXrw9PyaDYd5SYz4WpJIugws0zDr#V45)q$D9id5AbxA2Y096WF!hrF4WoRVx-XzjhP90TbaN(-+y+0*QCGx-TU5dx0ng0XYfNtAs*ZPGn+CodKvbyPiRiMDPKlpiiMyCC#zJ7i#%%TT)t*MMJM9twd+Q2yVSWU)kTkippQ7LhT*SIZRWidPey991Vlnyf6f7N!Hm-JOO97ORWRmgz0PdQMJ)UXy43o3#FCwblxxFs3YZkrjLNFf-qzvZpKM9MqXc#zfm(U$E1Mvpszt6KQv*9ur5HR)EaDF3dzqxGVOZDhlS7lkmabYVgDUu5lP4oUWUrLd)qU!5V3$%3j7p%tfjZrujGAL1!Ra-APlQ1x#bQRI1AKXw9gJUJZg0yos(XUC!L2gr8sho3oTkmFGODiEOAHZmnJx3*)plq(synlZ4ijw6b3fP!MuUaO0t#7Np(a%9XeU#DEJq9Av!)!nY)UbIws%ddMjLZR%qSpJWy8xa5+NIRoU4q3pSPO8hingjQ$Rl2e))U40(ptmIc*eJ794R%$A1z42ZOXznd6mIlfpoPPCEVcP8p7eXACr7T)w9*#522j*C(90wmY2EZf9fIkkLXHs6p8wUdls!dSizPSXMH-t61l+NOsGIJoDiB#ee#