不典型的急性主动脉夹层延误诊断1例
The Journal of Medical Theory and Practice(2020)
Abstract
1 病例资料
男性患者,66岁,因左侧胸痛、左侧腹痛5 h来诊,老年男性,起病急,病程短.患者当日12点左右突发左侧胸部、左侧腹部疼痛,呈持续性.伴有恶心,无呕吐,无反酸、烧心,无发热.无颈肩痛,无左臂痛,腹痛无放散.故立即到我院急诊就诊.并按照胸痛患者急诊就诊流程进行密切观察并行动态心电图监测、心肌酶谱检查、胸部CT检查及对症处置.
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