Tan Alan, Yikona Joseph
Department of General Surgery, Airedale NHS Foundation Trust, Keighley, UK.
BMJ Case Rep. 2012 Dec 13;2012:bcr2012007092. doi: 10.1136/bcr-2012-007092.
Patients with pulmonary embolism (PE) can show changes on the ECG. Here, we report the case of a 48-year-old man who initially presented with calf discomfort and swelling. He was discharged with no anticoagulation after a negative complex duplex venous ultrasonography for deep vein thrombosis (DVT). He presented 4 days later with shortness of breath and pleuritic chest pain. Multiple pulmonary emboli were found on CT pulmonary angiogram. His ECGs showed left-ventricular strain which is unusual for PE. He was anticoagulated and discharged. Despite presenting 2 days later with PE-related complications, he eventually recovered well.
肺栓塞（PE）患者的心电图可能会出现变化。在此，我们报告一例48岁男性病例，该患者最初表现为小腿不适和肿胀。在双功静脉超声检查显示深静脉血栓形成（DVT）为阴性后，他未接受抗凝治疗便出院了。4天后，他因气短和胸膜炎性胸痛再次就诊。CT肺动脉造影显示存在多发性肺栓塞。他的心电图显示左心室劳损，这在肺栓塞患者中并不常见。他接受了抗凝治疗后出院。尽管2天后出现了与肺栓塞相关的并发症，但他最终恢复良好。
