临床内科病例100份-930.pptVIP

Case Report ;Physician examination: BP:110/70mmHg HR: 65bpm T: 36.1℃ R: 18 No enlargement of cardiac dullness, no murmur. No moist rales in the lung field. No edema of low extremity LAB:ECG: Ⅱ,Ⅲ,avF ST↓0.1mv, T wave inverse , little Q wave in Ⅱ,Ⅲ,avF; .;Diagnosis and differential diagnosis ;Acute coronary syndrome? Esophogeal reflux? Peptic ulcer? Pumonary emboli? Aortic dissection?;;What should we do next?;;Treatment ;;;Circulation May 31 2011;2007 ACC/AHA STEMI Guideline. Circulation Jan.15 2008;Comment The end of ? blockers for uncomplicated hypertension ?