Detailed description of the problem and help respondents provide accurate reply papers: pulmonary heart disease complicated with acute myocardial infarction in 30 cases
Key Words Pulmonary heart disease / complications; myocardial infarction / complications
Key Words R541506 Code A literature marked Article ID 1009-6647 (2006) 11-2102-02
Abstract Objective: To analyze the occurrence of acute myocardial infarction with pulmonary heart disease in patients with clinical features of 30 cases for early detection of myocardial infarction patients, reduce misdiagnosis misdiagnosis Methods: A retrospective occurrence of pulmonary heart disease in patients with acute myocardial infarction in 30 cases of past history, smoking history, prodromal symptoms and complications were compared Results: The two groups of gender, cardiovascular family history, infarct location, systolic blood pressure was no difference (p> 005), the observation group age, smoking history, lung wet and dry rales higher (P <005) Symptom-based observation group to breathing difficulties, while the control group to dominated angina (P <005); heart rate (HR) observed group than the control group (P <005) Two concurrent pneumonia, pulmonary edema, respiratory failure, arrhythmia and death were higher than the number of the observation group, including pneumonia, pulmonary edema, respiratory failure, the difference was significant (P <005); concurrent shock the observation group were lower than the control group difference was not statistically significant (p> 005) Conclusion: The pulmonary heart disease in patients with myocardial infarction more than older, long-term smoking history, prodromal symptoms are not typical, it is difficult to diagnose, it is reported the rate of misdiagnosis and missed diagnosis rate of 8%, 26%, and complication and mortality rates than those in high, the clinical changes in the condition in time for check electrocardiogram, enzymes, etc for early detection and treatment
Severe cases of emergency rescue
Medical 1:
Patients with high-XX, male, 30 years old, mainly due to "chest and abdominal pain in four hours," admitted to hospital
Admission day morning 7 am, the patient appears no obvious incentive to chest and abdominal pain, accompanied by a sense of chest tightening, no Fangshe Tong, no breathing difficulties, heart palpitations, no fatigue, sweat and so on, severe pain, persistent non-release for consultation Blood pressure 160/100 mmHg, chest X-ray: bilateral pulmonary shadows door weight gain, blurred CT Tip: aortic dissection, given sodium nitroprusside at the same time pump into our department
Hypertension past three years, I, the most high blood pressure 180/140 mmHg, not the law of medication Alcoholic drinks and tobacco addiction
Palpation: BP: 170/115mmHg God-ching, lungs without rales, heart rate 71 beats / min Heart sounds clear, the law Qi, the valve area is not known and pathological murmur Abdomen soft, no tenderness and rebound tenderness Both lower extremities without edema, dorsalis pedis artery fluctuations better Vascular color Doppler ultrasound: thoracic aorta, abdominal aortic dissection (I type) ECG: sinus rhythm T-wave changes of left ventricular high voltage
Diagnosis: Aortic Dissection (I type), high blood pressure 3 (very high-risk group)
Pumped into the hospital to continue to give sodium nitroprusside to lower blood pressure, intramuscular injection of morphine sedation analgesia, metoprolol reduced myocardial contractile force, the next day early morning blood pressure in patients with stable around 110/70 mmHg, heart rate 65 beats / min or so Significantly reduced in patients with chest pain than before to turn a higher level hospital surgery
我觉得动漫中文艺范的吉他手有平泽唯,本城莲,索尼子等。平泽唯《轻音少女》,私立樱秋女子学院轻音乐系的吉他手兼主唱最初加入轻音乐系是因为他把轻音乐误认为“轻松简单的音乐”。她完全是乐器演奏的初学者,依靠直觉自学。她是一个困惑、鲁莽、有点自然的女孩,不擅长阅读和运动,而且有绝对的听觉。此外,她不会因为吃任何东西而增重,这让光和声音部的其他几个人羡慕不已。
本城莲《NANA》,这个被称为天才吉他手和娜娜命中注定的爱人的男人,从小就是一个孤儿,渴望拥有一个家庭,感受被爱。BLAST的前贝司手,现在是TRANSNEST的吉他手和作曲家,是TRANSNEST最受欢迎的人。石见沙罗《风夏》,是一名高年级学生,17岁,喜欢弹吉他。但是他不擅长和别人交流,因为表达不清楚,经常被误解。刺猬乐队阿久的妹妹。在榛名优改变学校之前,在推特上见过他,但不知道他的真实姓名和身份。他把对榛名优的爱藏在心里。
索尼子《超级索尼子》,一个简单自然的女孩年轻时从祖母那里学吉他,因为她对摇滚乐感兴趣。这所大学的专业是海洋生物学。对于他来说起床极其困难,虽然经常很晚,但仍然是个学生恶霸。偶像团体"第一宇宙速度"作为主唱和吉他手。岩泽麻美《Angel Beats!》,负责主唱和节奏吉他,乐队领导。她不是第一个把人们聚集在一起的人,但是她出色的吉他音调和歌声非常吸引听众。此外,乐队演奏的歌曲和歌词也是她亲手创作的。他用歌曲完全表达了自己的想法,是一个有着纯粹音乐家灵魂的女孩。
中野梓《轻音少女》,私人樱秋女子学院轻音乐系的第二个吉他手,轻音乐系唯一的新成员和继任者。被光声部演出中唯一的吉他演奏感动,加入了光声部,并被塔奈中路任命为秘书。但是她的性格严肃,总觉得高年级学生太散漫,但是最后也逐渐融入社会。所以我觉得动漫中文艺范的吉他手有平泽唯,本城莲,索尼子等。
我觉得动漫中非常厉害的吉他手是岩泽麻美,索尼子,石见沙罗,本城莲,平泽唯。
平泽唯《轻音少女》
私立秋英女子学院轻音乐系的吉他手兼主唱最初加入轻音乐系是因为他把轻音乐误认为“轻松简单的音乐”。他完全是乐器演奏的初学者,依靠直觉自学。他是一个困惑、鲁莽、有点自然的女孩,不擅长阅读和运动,而且有绝对的听觉。此外,她不会因为吃任何东西而增重,这让光和声音部的其他几个人羡慕不已。
这个被称为天才吉他手和娜娜命中注定的爱人的男人,从小就是一个孤儿,渴望拥有一个家庭,感受被爱。BLAST的前贝司手,现在是TRANSNEST的吉他手和作曲家,是TRANSNEST最受欢迎的人。
石见沙罗《风夏》
夏风的高年级学生,17岁,喜欢弹吉他。我不擅长和别人交流,因为表达不清楚,经常被误解。刺猬乐队·阿古的妹妹。在黑兹尔·布兰德改变学校之前,我在推特上见过他,但我不知道他的真实姓名和身份。我对黑兹尔的爱藏在心里。
索尼子《超级索尼子》
一个简单自然的女孩年轻时从祖母那里学吉他,因为她对摇滚乐感兴趣。这所大学的专业是海洋生物学。起床极其困难。虽然经常很晚,但仍然是个学生恶霸。偶像团体"第一宇宙速度"作为主唱和吉他手。
岩泽麻美《Angel Beats!》
负责主唱和节奏吉他,安静的乐队领导。她不是第一个把人们聚集在一起的人,但是她出色的吉他音调和歌声非常吸引听众。此外,乐队演奏的歌曲和歌词也是她亲手创作的。他用歌曲完全表达了自己的想法,是一个有着纯粹音乐家灵魂的女孩。
所以我觉得动漫中非常厉害的吉他手是岩泽麻美,索尼子,石见沙罗,本城莲,平泽唯。以上均为个人观点。
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