Betjes M G, Corssmit E P, van der Sloot J A
Academisch Medisch Centrum, AZ, Amsterdam.
Ned Tijdschr Geneeskd. 1998 Mar 7;142(10):497-502.
Pulmonary embolism is a serious and potentially life-threatening disease that requires early recognition and treatment. In three patients, two men aged 60 and 61 and a woman aged 76, prominent severe chest pain and electrocardiographic changes suggesting ischaemic heart disease, lack of response to treatment, marked dyspnoea and haemodynamic instability eventually led to the clinical suspicion and subsequent diagnosis of pulmonary embolism. Electrocardiographic changes are indicative of right-sided overload and sometimes of arterial hypoxaemia. Although ECG changes are very frequent in cases of pulmonary embolism, the abnormalities observed are mostly nonspecific ST-T segment changes.
肺栓塞是一种严重且可能危及生命的疾病，需要早期识别和治疗。在三名患者中，两名男性分别为60岁和61岁，一名女性为76岁，他们出现了提示缺血性心脏病的明显严重胸痛和心电图改变，对治疗无反应，显著呼吸困难和血流动力学不稳定，最终导致临床怀疑并随后诊断为肺栓塞。心电图改变提示右心负荷过重，有时提示动脉血氧不足。虽然心电图改变在肺栓塞病例中非常常见，但观察到的异常大多是非特异性的ST-T段改变。
