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下壁导联 ST 段抬高、冠状动脉扩张和使用头孢曲松后冠状动脉缓慢血流。

ST elevation in inferior derivation, coronary ectasia, and slow coronary flow following ceftriaxone use.

机构信息

Department of Cardiology, Gölcük Military Hospital, 41650 Kocaeli, Turkey.

出版信息

Am J Emerg Med. 2012 Oct;30(8):1657.e5-7. doi: 10.1016/j.ajem.2011.08.004. Epub 2011 Nov 17.

Abstract

A 24-year-old male patient presented with acute coronary syndrome with ST elevation following an allergic reaction to ceftriaxone. A coronary angiogram revealed ectasia and slow coronary flow in the right coronary artery, whereas the left coronary system was found to be normal. The patient was transferred to the coronary intensive care unit and given steroids, antihistamines, acetylsalicylic acid, clopidogrel, low–molecular weight heparin, and diltiazem. In this case study, we presented acute coronary events following an allergic reaction to ceftriaxone.

摘要

一位 24 岁男性患者因头孢曲松过敏出现急性冠脉综合征伴 ST 段抬高。冠状动脉造影显示右冠状动脉扩张和缓慢血流,而左冠状动脉系统正常。患者被转至冠心病重症监护病房,并给予皮质类固醇、抗组胺药、乙酰水杨酸、氯吡格雷、低分子肝素和地尔硫䓬。在本病例研究中,我们报告了头孢曲松过敏后的急性冠脉事件。

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