[1]肖智谦.阵发性室上性心动过速、房颤、胸痛1例[J].医学信息,2018,31(12):190-191.[doi:10.3969/j.issn.1006-1959.2018.12.063]
　XIAO Zhi-qian.Paroxysmal Supraventricular Tachycardia,Atrial Fibrillation and Chest Pain in 1 Case[J].Journal of Medical Information,2018,31(12):190-191.[doi:10.3969/j.issn.1006-1959.2018.12.063]
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阵发性室上性心动过速、房颤、胸痛1例()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年12期
页码:
190-191
栏目:
出版日期:
2018-06-15

文章信息/Info

Title:
Paroxysmal Supraventricular Tachycardia,Atrial Fibrillation and Chest Pain in 1 Case
文章编号:
1006-1959（2018）12-0190-02
作者:
肖智谦
广西北海市卫生学校附属医院,广西 北海 536100
Author(s):
XIAO Zhi-qian
Affiliated Hospital of Beihai Health School,Beihai 536100,Guangxi,China
关键词:
室上性心动过速; 房颤; 胸痛; 心包积液
Keywords:
Key words：Supraventricular tachycardia; Atrial fibrillation; Chest pain; Pericardial effusion
分类号:
R547.71
DOI:
10.3969/j.issn.1006-1959.2018.12.063
文献标志码:
B
摘要:
本院门诊收治1例阵发性室上性心动过速、房颤、胸痛患者。门诊查心电图示阵发性室上性心动过速。住院第2天患者诉胸背部剧烈疼痛，血压下降、心律不齐，音强弱不等，心电图示心房颤动、ST-T改变，心肌酶升高。考虑急性冠脉综合征，转上级医院行冠脉造影示：冠脉造影正常；心包积液。行心包引流后病情好转。通过该病例提示心包积液和急性心肌梗死的鉴别诊断很重要。特别病情复杂时，尽早行胸部X线和超声检查有助于鉴别诊断。
Abstract:
Abstract：In this hospital,1 patient with paroxysmal supraventricular tachycardia,atrial fibrillation,and chest pain was treated. Outpatient electrocardiogram shows paroxysmal supraventricular tachycardia.On the second day of hospitalization,the patient complained of severe chest pain,decreased blood pressure,irregular heartbeat,and weak sound intensity.ECG showed atrial fibrillation, ST-T changes,and elevated myocardial enzymes.Considering acute coronary syndrome,coronary angiography was performed at a superior hospital.Normal coronary angiography and pericardial effusion were considered.The condition improved after pericardial drainage.This case suggests that differential diagnosis of pericardial effusion and acute myocardial infarction is important.When a particular condition is complicated,early chest X-ray and ultrasonography are helpful in differential diagnosis.

参考文献/References:

[1]邓改芬,靳文英,朱天刚.多因素心包积液患者的临床特点分析[J].中华老年心脑血管病杂志,2017,19(2):160-162
[2]王创畅,吴伟,魏伟超. 症状性大量心包积液的病因和诊治及预后研究进展[J].中国全科医学,2016,19(35):4403-4407.
[3]沈卫峰, 张奇,张瑞岩.2015年急性ST段抬高型心肌梗死诊断和治疗指南解析[J].国际心血管病杂志,2015,42(4):217-219.

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更新日期/Last Update: 2018-06-15