Borer W Z, Gottdiener J S, Papadopoulos N M
Clin Chem. 1979 Oct;25(10):1853-6.
We present a case of hypovolemic shock accompanied by electrocardiographic changes classically associated with acute myocardial infarction. Prompt therapeutic intervention, which included correction of the hypovolemic shock, resulted in stabilization of the patient's clinical course, increased activities of the cardiac-specific enzymes in serum were not documented. Serial electrophoretic determinations of the isoenzymes of serum lactate dehydrogenase did not show the characteristic changes associated with myocardial infarction. Accurate determination of the serum isoenzymes provided valuable diagnostic information which, accompanied by the patient's clinical improvement, militated strongly against the occurrence of myocardial infarction.
我们报告一例低血容量性休克病例，该病例伴有典型的与急性心肌梗死相关的心电图改变。及时的治疗干预，包括纠正低血容量性休克，使患者的临床病程得以稳定，血清中心肌特异性酶活性升高的情况未被记录。血清乳酸脱氢酶同工酶的系列电泳测定未显示出与心肌梗死相关的特征性变化。血清同工酶的准确测定提供了有价值的诊断信息，结合患者的临床改善情况，有力地排除了心肌梗死的发生。
