论文部分内容阅读
作者报告1例33岁男性患者临床有典型的胸痛,心电图、血清酶谱改变以及左心室造影都证明为下壁心肌梗塞,经用抗凝疗法1个月后症状消失,2个月后进行选择性冠状动脉造影,未发现有意义的狭窄。认为该例很可能是冠状动脉被血栓阻塞后,经过治疗血栓又融解了。近年不断有报告心电图、血清酶和临床确诊的透壁性心肌梗塞病例,而冠状动脉造影正常。当然这些病例中有的是继发原因引起的,如严重贫血、肺梗塞、休克以及冠状动脉血流量显著减少、瓣膜病、外伤等继发原因。
The authors report a typical 33-year-old male patient with clinically typical chest pain, electrocardiogram, changes in serum zymography and left ventricular angiography have proved inferior myocardial infarction, after 1 month of anti-coagulation therapy symptoms disappeared, 2 months after the choice Coronary angiography showed no significant stenosis. That the case is likely to be coronary artery blocked by thrombosis, thrombosis after treatment has melted. In recent years, there have been reports of electrocardiogram, serum enzymes and clinically diagnosed cases of transmural myocardial infarction, and coronary angiography was normal. Of course, some of these cases are caused by secondary causes, such as severe anemia, pulmonary infarction, shock and coronary blood flow decreased significantly, valvular disease, trauma and other secondary causes.