国内低电压（220 - 240V）电击伤同时并发急性缺血性脑卒中与急性心肌梗死：一种罕见的并发症
Acute ischaemic stroke and acute myocardial infarction occurring together in domestic low-voltage (220-240V) electrical injury: a rare complication.
作者信息
Verma Girish C, Jain Gaurav, Wahid Abdul, Saurabh Chittora, Sharma Nirmal K, Pathan A R, Ajmera Devendra
出版信息
J Assoc Physicians India. 2014 Jul;62(7):620-3.
BACKGROUND
Myocardial Infarction and Ischaemic stroke are potential outcome after an electric shock though it is seen relatively rarely.
CASE REPORT
Here, we report a man with myocardial infarction as well as Ischaemic stroke occurring together who suffered a domestic low- voltage (220-240V) electrical injury. Myocardial infarction was evident by cardiac enzymes, electrocardiography and echocardiography while Ischemic stroke was evident on CT scan head: Patient was treated on line of acute ischaemic stroke and myocardial infarction. Patient was discharged in satisfactory condition.
CONCLUSION
Electric Injury due to low voltage AC may cause ischaemic stroke as well as myocardial Infarction altogether. Vasospasm caused by electrical injury, direct thermal injury may be the cause of concurrent phenomenon.
背景
电击伤后，心肌梗死和缺血性中风是潜在的后果，尽管相对少见。
病例报告
在此，我们报告一名男性，他遭受了家庭低压（220 - 240V）电击伤，同时发生了心肌梗死和缺血性中风。心肌梗死通过心肌酶、心电图和超声心动图得以明确，而缺血性中风在头颅CT扫描中表现明显：患者接受了急性缺血性中风和心肌梗死的治疗。患者出院时情况良好。
结论
低压交流电所致的电击伤可能会同时引发缺血性中风和心肌梗死。电损伤引起的血管痉挛、直接热损伤可能是这种并发现象的原因。
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