十二指肠溃疡穿孔时的心电图变化酷似急性心肌缺血。

ECG changes with perforated duodenal ulcer mimicking acute cardiac ischemia.

作者信息

Sole D P, McCabe J L, Wolfson A B

机构信息

Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, USA.

出版信息

Am J Emerg Med. 1996 Jul;14(4):410-1. doi: 10.1016/S0735-6757(96)90062-5.

DOI:10.1016/S0735-6757(96)90062-5

PMID:8768168

Abstract

A 38-year-old man presented to the emergency department with severe epigastric pain. An electrocardiogram (ECG) showed T wave inversions in leads V2 through V4 consistent with myocardial ischemia. The patient had undergone stress thallium testing and cardiac angiography several months prior for recurrent chest pain, and results from both studies were normal. Pneumoperitoneum seen on a chest X-ray prompted emergency laparotomy. A perforated duodenal ulcer was found and repaired. The ECG changes reverted to normal after surgery.

摘要

一名38岁男性因严重上腹部疼痛就诊于急诊科。心电图（ECG）显示V2至V4导联T波倒置，符合心肌缺血表现。该患者数月前因反复胸痛接受了运动铊试验和心脏血管造影，两项检查结果均正常。胸部X线显示的气腹促使进行急诊剖腹手术。术中发现并修复了十二指肠溃疡穿孔。术后心电图改变恢复正常。