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近年来国内外关于一过性 Q 波的报道很多,其原因也不下十几种,但静滴多巴胺引起一过性 Q 波未见报道。多巴胺引起变异型心绞痛及干扰性房室脱节亦罕见,现将我院所遇1例报告如下:患者女性,29岁,住院号5085。既往无心血管病史。主因发烧、呕吐、腹泻、昏睡20小时,以休克型肺炎、急性胃肠炎于1983年5月16日入院。查:体温37.8℃、脉搏102次,血压60/40mmHg,心律整。即日晚8时给予多巴胺80mg+500ml 液体中静滴(约10μg/kg/分)。当晚10时输入多巴胺约60mg时,患者突感胸闷、牙痛及上腹痛,疼痛剧烈难忍。测血压110/80mmHg,脉搏120次,急查心电图:V_1导联出现 QS 波,除 V_4、aVR 导联外其它导联 ST 段均
In recent years, there are many reports about transient Q wave at home and abroad. The reason is not less than a dozen, but there is no report about the transient Q wave caused by intravenous injection of dopamine. Dopamine caused by variant angina and disrupted anomalous ventricular septum is also rare, now in our hospital encountered a case report as follows: Female patients, 29 years old, hospital number 5085. Past history of cardiovascular disease. Mainly due to fever, vomiting, diarrhea, lethargy 20 hours to shock pneumonia, acute gastroenteritis in May 16, 1983 admission. Check: body temperature 37.8 ℃, pulse 102 times, blood pressure 60 / 40mmHg, heart rhythm. Dopamine 80mg + 500ml intravenous drip (about 10μg / kg / min) at 8pm. At 10 o’clock that night about 60mg dopamine, the patient suddenly felt chest tightness, toothache and upper abdominal pain, severe pain. Blood pressure 110 / 80mmHg, pulse 120 times, emergency ECG: V_1 lead appears QS wave, except for V_4, aVR leads other lead ST segment