Habibzadeh M A
Postgrad Med. 1980 Oct;68(4):221-3, 226. doi: 10.1080/00325481.1980.11715575.
A patient with chronic obstructive pulmonary disease had a 100% pneumothorax on the left side associated with marked ECG changes. The changes occurring in this situation can be confusing. Because of the high prevalence of coronary heart disease in patients presenting with left-sided chest pain, an ECG usually is obtained to rule out acute myocardial infarction, in many instances even before history taking, physical examination, or chest x-ray study is done. Therefore, familiarity with the ECG manifestations of left-sided penumothorax is necessary to avoid delay in establishing the diagnosis and in beginning therapy.
一名慢性阻塞性肺疾病患者左侧出现100%气胸，并伴有明显的心电图改变。这种情况下出现的变化可能令人困惑。由于左侧胸痛患者中冠心病的患病率较高，通常会进行心电图检查以排除急性心肌梗死，在许多情况下甚至在进行病史采集、体格检查或胸部X线检查之前就进行了。因此，熟悉左侧气胸的心电图表现对于避免诊断延迟和开始治疗的延误是必要的。
