肺梗塞误诊为急性心肌梗死一例

Modern Practical Medicine(2012)

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Abstract
<正>1病例女,52岁,因突发胸痛、胸闷伴气促、出汗及口唇发绀5 h在某医院急诊就诊时发生心跳呼吸骤停,予紧急胸外心脏按压、气管插管、肾上腺素及多巴胺抢救后心跳恢复,皮氧饱和度降为60%,心电图显示窦性心动过速,广泛导联ST段压低,提示严重心肌缺血。肌钙蛋白-I16.18mg/ml,谷丙转氨酶427 IU/L,谷草转氨
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