论文部分内容阅读
可逆性心肌梗塞样心电图改变是指出现典型的异常Q波、ST段抬高、冠状T波等急性心肌梗塞的心电图改变,这些改变经过1～2周大致可恢复正常。来自心肌的血清酶肌酸磷酸激酶(CPK)、谷草转氨酶(GOT)等升高也不明显,尸检肉眼所见未能断定心肌梗死。作者从1972年8月至1978年9月,尸检60岁以上患者1,400例,其中符合上述可逆性心肌梗塞样心电图改变的37例,对这些病例作了临床及病理分析。结果引起上述心电图改变的疾病有肺炎15例,消化道癌7例,消化道出血5例,感染性疾病3例,脑梗塞2例,手术3例,恶性肿瘤2例。异常Q波出
Reversible myocardial infarction-like ECG changes refers to the typical abnormal Q wave, ST elevation, coronary T wave and other acute myocardial infarction ECG changes, these changes can be roughly returned to normal after 1 to 2 weeks. Serum enzymes from the myocardium creatine phosphokinase (CPK), aspartate aminotransferase (GOT) increase is not obvious, the necropsy of the naked eye can not determine the myocardial infarction. Authors Autopsied 1,400 patients over the age of 60 from August 1972 to September 1978, of whom 37 had reversible changes in myocardial infarction-like electrocardiogram. Clinical and pathological analyzes were performed on these patients. Results The electrocardiographic changes caused by pneumonia in 15 cases, 7 cases of gastrointestinal cancer, gastrointestinal bleeding in 5 cases, 3 cases of infectious diseases, cerebral infarction in 2 cases, surgery in 3 cases, 2 cases of malignant tumors. Abnormal Q wave out