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我院自2004年5月～20095月共收治4例以急性下壁ST段抬高心肌梗死(STEMI)为首发表现的主动脉夹层(AD)患者,对他们的临床特点进行总结,值得深思。例1,男性,47岁,主因上腹部疼痛10小时伴胸闷、憋气1小时入急诊室。高血压病4年。来院心电图为Ⅱ、Ⅲ、aVF导联ST段抬高0.2～0.4mv,伴Ⅲ° AVB。查体:血压90/60mmHg,平卧位,出汗,心率37次/分,律齐,无杂音,双肺无湿性罗音,上
In our hospital from May 2004 to May 2009 were treated 4 cases of acute inferior wall ST-segment elevation myocardial infarction (STEMI) as the first manifestation of aortic dissection (AD) patients, their clinical features are summarized, it is worth pondering. Example 1, male, 47 years old, mainly due to upper abdominal pain for 10 hours with chest tightness, suffocation 1 hour into the emergency room. Hypertension 4 years. Hospital electrocardiogram as Ⅱ, Ⅲ, aVF lead ST segment elevation 0.2 ~ 0.4mv, with Ⅲ ° AVB. Physical examination: blood pressure 90 / 60mmHg, supine position, sweating, heart rate 37 beats / min, law Qi, no noise, no wet lung rales, on the