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注射肾上腺素所致的酷似急性前间壁心肌梗塞,文献报道较少,我们曾收治1例,现报告如下. 薛×,男性,25岁.平素健康.患者于1978年9月6日下午预防注射副霍乱疫苗1c.c后发生头晕,当即给予皮下注射肾上腺素0.5mg,不久发生剧烈的头痛及心前区疼痛而来院急诊。入院时体检:BP210/100mmHg.脉规则75次/分.脸色苍白。心脏未闻杂音.心电图检查:V_1V_2V_3呈QS型并ST抬高;Ⅱ、Ⅲ、aVF、V_4～V_6之ST段明显呈水平压低;T波倒置或双向.立即给予舌下含服消心痛一片。后每小时作心电图一次。1小时后心前导联V_2V_3逐渐由QS型变为rs型,ST压低的导联亦渐回升,V_5V_6的T波由倒置转为直立。心前区疼痛消失.2小时后心电图恢复正常,患者症状消失,血压130/80mmHg。观察二天后出院.出院后作心电图运动试验阴性,血脂正常。随访数月,未见异常.
Injection of epinephrine resembles acute acute anterior myocardial infarction, reported less literature, we have admitted a case, are as follows .Sx ×, male, 25 years old .In general, the patient in the afternoon of September 6, 1978 injection Vice cholera vaccine 1c.c after dizziness, immediately given subcutaneous injection of epinephrine 0.5mg, shortly after the occurrence of severe headache and precordial pain and hospital emergency. Physical examination on admission: BP210 / 100mmHg. Pulse rule 75 beats / min. Pale. Heart unheard noise.Electrocardiogram examination: V_1V_2V_3 were QS type and ST elevation; Ⅱ, Ⅲ, aVF, V_4 ~ V_6 ST segment was significantly lower; T wave inversion or bidirectional. After every hour as an ECG. One hour later, the lead of V_2V_3 gradually changed from QS to rs, and the lead of ST decreased gradually. The T wave of V_5V_6 turned from upside down to upright. Pre-anorectal pain disappeared .2 hours after electrocardiogram returned to normal, the patient disappeared, blood pressure 130 / 80mmHg. Observed two days after discharge from the hospital for electrocardiogram test negative, normal blood lipids. Follow-up for several months, no abnormalities.