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急性心肌梗死心電圖特殊表現(xiàn)二例

發(fā)布時間:2018-05-04 11:51

  本文選題:發(fā)作性胸痛 + 右心室心肌梗死 ; 參考:《中國循環(huán)雜志》2016年11期


【摘要】:正1臨床資料病例1:女性,47歲,因發(fā)作性胸痛6天,加重并持續(xù)2小時于2015-09-06入院。入院6天前飽餐后出現(xiàn)胸骨后疼痛,向雙上肢放射,持續(xù)半小時自行緩解。2015-09-05晚22時再次胸痛,持續(xù)不緩解。23:23就診于我院急診。既往體健。入院查體:BP:158/90 mm Hg(1mm Hg=0.133k Pa),HR:62bpm,心肺查體(-),雙下肢無水腫。心電圖:II、III、aVF、V_2~V_7導(dǎo)聯(lián)ST段抬高0.1~0.3m V,V_8~V_9導(dǎo)聯(lián)ST段略抬高;經(jīng)皮冠狀動脈介入治療(PCI)術(shù)后心電圖相應(yīng)導(dǎo)聯(lián)ST段回落;第3日心電圖
[Abstract]:Case 1 Clinical data: female, 47 years old, were admitted to hospital in 2015-09-06 for 6 days due to paroxysmal chest pain. After full meal 6 days before admission, the patient developed post-sternal pain and radiated to both upper limbs. The patient continued to relieve the chest pain again at 22:00 in the evening of 2015-09-05. The patient was admitted to the emergency department with no relief of .23: 23. Past physical fitness. The patients were admitted to the hospital and examined at: BP: 158mm / 90mm Hg(1mm Hg=0.133k Pao, HR: 62bpm, cardiopulmonary examination, no edema in both lower extremities. St segment elevation of 0.1 to 0.3m V8 / V9 leads in St segment elevation; St segment decrease in leads corresponding to percutaneous coronary intervention (PCI) after percutaneous coronary intervention (PCI); and electrocardiogram (ECG) on the 3rd day after PCI.
【作者單位】: 中國醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國家心血管病中心阜外醫(yī)院心內(nèi)科;
【分類號】:R542.22

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1 孫淑紅,陳步星,馬風(fēng)云,羅維,田一丁,高光敏,趙希哲;第4例——發(fā)熱、發(fā)作性胸痛、心電圖異常[J];中華心血管病雜志;2003年05期

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