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早期及时正确的诊断与治疗急性心肌梗塞(AMI),对预后具有重要的意义。但是,一部分AMI超急性期异常心电图可出现伪性改善,造成漏诊及误诊,而这种伪性改善,尚未引起临床医师重视。兹将我们遇到一例报告于下: 李××,女,52岁。患冠心病高血压病约十年。近两年病程进展较快。因工作较忙、精神紧张,引起胸痛发作一天后入院。体检:体温36.5℃,脉搏52次/分,呼吸20次/分,血压180/110mmHg。神志清,急性痛苦病容,无发绀,心浊音界不扩大,心律整,无杂音,A_2>P_2。两肺未闻罗音。腹软,肝脾未触及。实验室检查:血红蛋白14.8g％,红细胞434万,白细胞11000,中性80％,尿便常规正常,血沉20mm/h。血清胆固醇275mg％,甘油三酯235mg％,β脂蛋白定量690mg％。肝功能
Early timely and correct diagnosis and treatment of acute myocardial infarction (AMI), the prognosis of great significance. However, some AMI hypersensitivity anomalies may appear pseudo-abnormal ECG, resulting in missed diagnosis and misdiagnosis, and this pseudo-improvement has not yet attracted the attention of clinicians. We will meet with a case report below: Li × ×, female, 52 years old. Coronary heart disease hypertension for about ten years. Course progress in the past two years faster. Busy due to work, mental stress, causing chest pain one day after admission. Physical examination: body temperature 36.5 ℃, pulse 52 beats / min, breathing 20 beats / min, blood pressure 180 / 110mmHg. Consciousness, acute pain, no cyanosis, heart dullness does not expand, heart rhythm, no noise, A_2> P_2. Two lungs did not hear rales. Abdomen soft, liver and spleen not touched. Laboratory tests: hemoglobin 14.8g%, 434,000 erythrocytes, leukocytes 11,000, 80% neutral, normal urine, erythrocyte sedimentation rate 20mm / h. Serum cholesterol 275mg%, triglyceride 235mg%, beta lipoprotein quantitative 690mg%. liver function