表现为ST段抬高的医源性右侧气胸：一例罕见病例报告及文献复习

Alzghoul Bashar, Innabi Ayoub, Shanbhag Anusha, Chatterjee Kshitij, Amer Farah, Meena Nikihil

Department of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.

Faculty of Medicine, University of Jordan, Amman, Jordan.

Case Rep Crit Care. 2017;2017:3291751. doi: 10.1155/2017/3291751. Epub 2017 Mar 26.

Pneumothorax is a well-recognized complication of central venous line insertion (CVL). Rarely, pneumothorax can lead to electrocardiogram (ECG) findings mimicking ST-segment elevation myocardial infarction. We present a 63-year-old man with iatrogenic right-sided pneumothorax who developed ST-segment elevation on a 12-lead ECG suggestive of myocardial infarction. The ECG findings completely resolved after needle decompression and chest tube placement. This case points up this rare electrocardiographic finding with discussion of possible mechanisms and differential diagnosis.

气胸是中心静脉置管（CVL）一种公认的并发症。气胸极少会导致心电图（ECG）表现酷似ST段抬高型心肌梗死。我们报告一名63岁男性，因医源性右侧气胸在12导联心电图上出现提示心肌梗死的ST段抬高。在进行针吸减压和放置胸管后，心电图表现完全消失。本文通过讨论可能的机制和鉴别诊断指出了这一罕见的心电图表现。