王建,陈若诗,王博,肖栋

• 1:厦门大学附属心血管病医院心内科
• 2:厦门市长庚医院内科
• 3:厦门大学附属心血管病医院影像科

摘要(Abstract)：

<正>1临床资料患者男,61岁。主因"上呼吸道感染5 d后出现胸闷,位于心前区,呈压迫感,伴大汗,持续1 h左右自行缓解"2019年12月2日就诊于厦门大学附属心血管病医院心内科。既往长期吸烟史30年,每日20支;高血压病10余年,服用缬沙坦,未规律监测。入院查体未见异常,生命体征正常。心电图示:V2～V6导联ST段轻度弓背抬高,高敏肌钙蛋白T升高3015 ng/L。急诊床旁超声心动图示:各房室正常,左心室射血分数(left ventricular ejection fraction,LVEF)69%。结合既往病史及辅助检查拟入院诊断:胸闷(待查)、急性心肌炎(acute myocarditis,AM)、急性心肌梗死(acute myocardium infarction,AMI)、高血压病。予以营养心肌、激素、抗病毒、抗栓、调脂、降压、护胃及对症支持治疗。

关键词(KeyWords)： 急性心肌炎;急性心肌梗死;磁共振成像

Abstract:

Keywords:

基金项目(Foundation): 福建省卫生计生青年科研课题(2016-2-76)

作者(Author): 王建,陈若诗,王博,肖栋

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