腺垂体功能减退症误诊为急性心肌梗死一例

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1病例资料男,56岁。因心前区闷胀不适1周入院。心电图检查示:胸前导联T波低平、倒置,无ST段下移或抬高。乳酸脱氢酶(LDH)609.44U/L,天冬氨酸转氨酶(AST)79.00U/L,肌酸激酶(CK)2986.20U/L,肌酸激酶同工酶(CK.MB)239.10U/L;血钾3.90mmol/L,钠105.00mmol/L,氯82.50mmol/L。心脏超声检查示:左室前壁运动波幅降低(4.3mm),E/A〈1。次日冠状动脉造影检查提示冠状动脉无明显狭窄,复查心电图无动态演变。入院第4天复查LDH534
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