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一例61岁男性患者,~(201)Tl SPECT表现为心肌缺血,疑及动脉硬化性疾病,手术证实为缩窄性心包炎.患者呼吸困难,体重增加迅速.心率、心音正常.胸透未见心脏扩大和充血.心电图Ⅱ、Ⅲ、AVF、Ⅴ_4、Ⅴ_5、和Ⅴ_6示ST-T改变.超声心动图示室间隔矛盾运动.~(201)Tl SPECT运动试验示运动时左室下壁和室间隔放射性稀疏,4小时后呈完全填充伴随左室容积下降.考虑为室间隔和左室下壁心肌缺血.病人不能耐受运动试验,血压下降,心率增快,近于晕厥.心电图示下侧壁心肌缺血.
A 61-year-old male patient with ~ (201) Tl SPECT showed myocardial ischemia, suspected and arteriosclerotic disease, and the operation was confirmed as constrictive pericarditis. The patient had difficulty in breathing and gaining weight quickly with normal heart rate and heart sound. See enlargement and hyperemia of the heart. ST-T changes were shown in ECG II, III, AVF, V_4, V_5, and V_6. Echocardiography showed contradictory ventricular septum activity. The ~ (201) Tl SPECT exercise test showed a decrease in left ventricular wall and chamber Interval radioactive sparse, 4 hours after the full filling was accompanied by decreased left ventricular volume.According to interventricular septal and left ventricular myocardial ischemia.Patients can not tolerate exercise test, blood pressure, heart rate, near syncope. Lateral myocardial ischemia.