致冠状动脉入口严重狭窄的梅毒性心脏病误诊为冠状动脉粥样硬化性心脏病一例
彭小凡,唐亮,台适,胡信群,周胜华
摘要(Abstract):
<正>患者女,50岁,因"活动后胸部紧缩感3年,胸痛2个月,加重2 h"于当地医院就诊,入院当日心电图示窦性心律,未见ST段抬高及病理性Q波形成。实验室检查:肌钙蛋白I 9.6 ng/ml,肌酸激酶289.0 U/L,肌酸激酶同工酶46.7 U/L,脑钠肽(BNP)2189.9 pg/ml,D-2聚体1466.0 ng/ml,均高于正常值。血糖、血脂、甲状腺功能均正常,梅毒抗体阳性。心脏彩超示:左心扩大,主动脉瓣中-
关键词(KeyWords): 梅毒性心脏病;主动脉瓣反流
基金项目(Foundation):
作者(Author): 彭小凡,唐亮,台适,胡信群,周胜华
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