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蛛网膜下腔出血是内科常见病,心电图(以下略称ECG)常有变化,但表现为急性心肌梗塞(以下略称AMI)图形则很少见。现将我院收治的一例报告如下: 病历介绍患者女,56岁。于住院前9天,因精神受刺激出现头疼、呕吐。住院前2小时在乘车时突发头疼呕吐加重,逐渐进入昏迷,1984年11月17日住院。入院查血压15/12kpa(110/90mmHg),昏迷、躁动。双瞳孔等大,对光反射存在。项强。心肺听诊正常。未引出病理反射。脑脊液外观呈均勺血性。压力2.5kpa(250mmH_2O)。潘迪反应(+++)。入院时心率100次,Q—T间期0.43秒,心电轴—49°。QRSV1～2呈QS型,波深达1.5mv,T波直立,S—T段抬高达0.1～0.2mv。QRSV3,5,7分
Subarachnoid hemorrhage is a common medical disease, ECG (hereinafter abbreviated ECG) often change, but the performance of acute myocardial infarction (hereinafter referred to as AMI) graphics are rare. A case report of our hospital is now as follows: Medical record Introduction Female patient, 56 years old. 9 days before hospitalization, due to mental irritation headache, vomiting. 2 hours before hospitalization sudden headache vomiting sudden increase, and gradually into a coma, November 17, 1984 hospitalization. Admission check blood pressure 15 / 12kpa (110 / 90mmHg), coma, restlessness. Double pupil and so on, there is light reflection. Xiang Qiang. Cardiopulmonary auscultation normal. Did not lead to pathological reflex. Cerebrospinal fluid showed a spoonful of bloody appearance. Pressure 2.5kpa (250mmH_2O). Pandie reaction (+++). Admission heart rate 100 times, Q-T interval 0.43 seconds, ECG axis -49 °. QRSV1 ~ 2 was QS type, wave depth of 1.5mv, T wave upright, S-T segment elevation of 0.1 ~ 0.2mv. QRSV3,5,7 points