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【简答题】
,45岁,因阵发性胸闷痛1入院。吸烟史10年,既往有慢性结石性胆囊炎病史5+年。1月前体检发现总胆固醇、低密度脂蛋白升高。1前,患者爬楼梯时出现左胸部疼痛,压迫感,伴随冷汗出,患者随即坐下休息约1分钟后,症状逐渐缓解,后至社区医院行心电图检查提示心律,电轴不偏,V 1~V5导联ST段压低约0.05mv,T波倒置。心脏B超提示心脏结构正常,左心室舒张功能异常。近1来,患者反复胸闷不适,劳累、激动后容易出现,症状与首次发作类似,每次1-5分钟不等,休息后可逐渐减轻,遂来上级医院就诊,心肌酶阴性。 题目: 1 : 患者 最可能的诊断是什么 ? n 最 应该完善哪些检查以进一步明确或排除诊断 ? 2. 根据患者的诊断,应该给与患者什么建议和药物治疗? 3 :如果患者动态复查,心电图提示 ST 段上抬,心肌酶升高 2 倍以上,考虑什么问题?应如何处理?如何评价疗效?
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