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一名伴有恶心、呕吐和脑出血患者的ST段抬高

ST-Segment Elevation in a Patient With Nausea, Vomiting, and Intracerebral Hemorrhage.

作者信息

Banerjee Ranjan, Hillerson Dustin, Leung Steve W, Sorrell Vincent L

机构信息

Gill Heart & Vascular Institute, University of Kentucky, Lexington, Kentucky, USA.

出版信息

JACC Case Rep. 2021 Nov 17;3(16):1727-1729. doi: 10.1016/j.jaccas.2021.09.010.

DOI:10.1016/j.jaccas.2021.09.010
PMID:34825197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8603042/
Abstract

A 60-year-old man who presented with nausea, vomiting, and intracerebral hemorrhage developed inferior ST-segment elevation and angina. Coronary angiography showed no coronary obstruction. The patient was found to have a small bowel obstruction causing superior translocation of the heart. Relief of obstruction caused immediate resolution of electrocardiographic changes and symptoms. ().

摘要

一名60岁男性，出现恶心、呕吐和脑出血，随后出现下壁ST段抬高及心绞痛。冠状动脉造影显示无冠状动脉阻塞。发现该患者患有小肠梗阻，导致心脏向上移位。梗阻解除后，心电图改变和症状立即缓解。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/8603042/871c13fddb92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/8603042/6ef7f3d8a43b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/8603042/871c13fddb92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/8603042/6ef7f3d8a43b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/8603042/871c13fddb92/gr1.jpg

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本文引用的文献

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A Case of Ileus and ST Segment Elevation.一例肠梗阻与ST段抬高病例
R I Med J (2013). 2016 Nov 1;99(11):44-46.
2
Small Bowel Obstruction Masquerading as Acute ST Elevation Myocardial Infarction.伪装成急性ST段抬高型心肌梗死的小肠梗阻
Case Rep Cardiol. 2015;2015:685039. doi: 10.1155/2015/685039. Epub 2015 Oct 26.
3
Small Bowel Obstruction Mimicking Acute ST-Elevation Myocardial Infarction.酷似急性ST段抬高型心肌梗死的小肠梗阻
Case Rep Surg. 2015;2015:739147. doi: 10.1155/2015/739147. Epub 2015 Mar 8.