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冠状动脉口异位起源猝死1例

Chinese Journal of Forensic Medicine(2020)

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Abstract
1 案例资料 1.1 简要案情 王某,男,17岁.某晚大量饮酒,次日21时,胸闷被送医院就诊,肌钙蛋白测定(急)11.81ng/ml,全血超敏C反应蛋白100.14mg/L,乳酸脱氢酶1880U/L,α-羟丁酸脱氢酶1853 U/L,肌酸激酶6100 U/L,肌酸激酶MB同工酶570 U/L, N 端脑利钠肽前体4256pg/ml,心电图示"窦性心动过速,电轴右偏,轻度T波改变",考虑心肌损伤、心力衰竭,予入院治疗.第十日下午突发烦躁、呼吸窘迫,经抢救无效死亡.
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