以上腹痛为表现的超急性期心肌梗死伴室性心动过速一例
Chinese Journal of Cardiac Pacing and Electrophysiology（2021）
Abstract
患者男,41岁,因上腹痛3 h余,心跳骤停,心肺复苏后1 h余入院.心肺复苏后常规心电图检查示:Q RS波宽大畸形,其前无相关P波,除V4导联外,其余导联QRS波均与其后ST-T波融合呈一个大R波,R-R间期不规则.部分大R波类似墓碑状,但不典型.心肌酶谱检查示:肌酸激酶MB同工酶、肌酸激酶增高,肌钙蛋白I弱阳性.经抗心律失常、扩张冠状动脉等治疗后病情好转.
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