心肌桥致急性前壁心肌梗死一例
陈鸿武,马礼坤,余华,冯克福,胡昊
摘要(Abstract)：
<正>心肌桥(myocardial bridge,MB)是冠状动脉造影中比较常见的征像,且一般认为心肌桥是一种良性经过,绝大多数情况下不会造成明显的症状。但近期我们救治1例因心肌桥导致急性前壁心肌梗死的患者,现报告如下。患者女性,79岁,体重62kg,退休。因"用力排便时突发胸痛1小时"转入我科。患者因化脓性阑尾炎并发阑尾脓肿入我院急诊外科行抗感染、补液等治疗;既往否认高血压病及糖尿病史,入院常规心电图见:窦性心律(图1)。第3天晚上9点在用力排大便时突发胸痛,持续不缓解,伴大汗,无晕厥。体检:神志清楚,痛苦面容,出汗多,血压97/65mmHg,颈静脉无怒涨,双肺呼吸音清,未闻及干湿性啰音,心界不大,心率64次/分,可闻及早搏,未闻及病理性杂音,右下
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基金项目(Foundation):
作者(Author): 陈鸿武,马礼坤,余华,冯克福,胡昊
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