论文部分内容阅读
我们曾误诊3例急性右室梗塞,现举1例分析如下。患者男,48岁。因剧烈心前区疼痛,大汗淋漓半小时急诊。查体:Bp13/9kPa,心率102次/min,律整,各瓣膜区无杂音,心音低钝。心电图示Ⅱ、Ⅲ、aVFT波倒置,V_5～V_6T波平坦,以变异型心绞痛入院。给予极化液、硝酸甘油等静脉滴注,疼痛不缓解,渐出现烦躁,神志恍惚,四肢末端湿冷,测血压10/6kPa,加做右心导联V_3R、V_4R,均呈QS型,V_4RS—T段上抬0.05mv,考虑右室梗塞。查CK284U/L,LDH150U/L,AST35U/L,CKMB32U/L。经救治25天痊愈出院。
We have misdiagnosed 3 cases of acute right ventricular infarction, now give an example of analysis as follows. Male patient, 48 years old. Due to severe precordial pain, sweating dripping half an hour emergency. Physical examination: Bp13 / 9kPa, heart rate 102 beats / min, rhythm, the valve area without noise, heart sound low blunt. ECG Ⅱ, Ⅲ, aVFT wave inversion, V_5 ~ V_6T wave flat, with variant angina pectoris. Given the polar liquid, nitroglycerin and other intravenous drip, pain does not ease, gradually appear irritable, trance, extremities cold, measuring blood pressure 10 / 6kPa, plus the right lead V_3R, V_4R, were QS type, V_4RS- T segment 0.05mv elevation, consider the right ventricular infarction. Check CK284U / L, LDH150U / L, AST35U / L, CKMB32U / L. After treatment for 25 days cured.