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頁籤選單縮合
題名 | A Case of Subarachnoid Hemorrhage with Persistent Shock and Transient ST Elevation Simulating Acute Myocardial Infarction=蜘蛛膜下腔出血合併持續休克和暫時性ST段上升而擬似急性心肌梗塞之病例報告 |
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作者 | 李香君; 顏學偉; 盧怡旭; 李坤泰; 溫文才; 賴文德; 許勝雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 20:9 2004.09[民93.09] |
頁次 | 頁452-456 |
分類號 | 415.3161 |
關鍵詞 | 蜘蛛膜下腔出血; ST段上升; 休克; 急性心肌梗塞; Subarachnoid hemorrhage; ST elevation; Shock; Acute myocardial infarction; |
語文 | 英文(English) |
中文摘要 | 在神經血管疾病中發現的心電圖變化並非少見。蜘蛛膜下腔出血的病人,其心電圖變化可能類似心肌缺氧和急性心肌梗塞的表現。在蜘蛛膜下腔出血的早期,兒茶胺酚的釋放使大多數病人的血壓上升,相反地,低血壓則是少見的表現。我們提出一位蜘蛛膜下腔出血的患者合併有心電圖中ST段的暫時性上升與持續的休克擬似急性心肌梗塞表現,並針對蜘蛛膜下腔出血之心電圖變化的機轉提出討論。 |
英文摘要 | Electrocardiographic changes in neurovascular disesase are not rare. Patients with subareachnoid hemorrhage have electrocardiographic (ECG) abnormalities that may mimic ischemic heart disease and acute myocardial infaction. Outflow of catecholamines in the early stage of subarachnoid hemorrhage contributes to elevated blood pressure in most patients. Hypotension is a rare presentation in subarachnoid hemorrhage. We report a case of subarachnoid hemorrhage with transient ST elevation and intractable schok simulating acute myocardial infarction, and review the mechanism of ECG changes in subarachnoid hemorrhage. |
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