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酷似急性心肌梗死的肠梗阻

Intestinal obstruction mimicking acute myocardial infarction.

作者信息

Mixon Timothy A, Houck Philip D

机构信息

Division of Cardiology, Scott & White Clinic and Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas 76508, USA.

出版信息

Tex Heart Inst J. 2003;30(2):155-7.

Abstract

A 64-year-old woman presented at our institution with abdominal pain. An electrocardiogram suggested the possibility of acute anteroseptal myocardial infarction. Her medical history included esophageal reconstruction with use of a jejunal conduit in the anterior mediastinum. Echocardiography revealed a distended jejunal conduit, which was compressing the right ventricle. Once the cause was identified, nasogastric suction was initiated and the symptoms and electrocardiographic changes resolved.

摘要

一名64岁女性因腹痛前来我院就诊。心电图提示急性前间壁心肌梗死的可能性。她的病史包括在前纵隔使用空肠导管进行食管重建。超声心动图显示空肠导管扩张,压迫右心室。一旦确定病因,即开始鼻胃管抽吸,症状和心电图改变均得以缓解。

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