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异常Q 波是诊断心肌梗塞的重要依据,但某些疾病使心肌处于代谢紊乱或严重缺血时,也可出现 Q 波。我们最近遇到一例广泛前壁及下壁心肌缺血历时4天异常 Q 波的患者,男,58岁,间断性胸痛、胸闷6天,加重一天为主诉,于1987年3月20日住院。入院前感间断性左胸压榨性闷痛,并向左肩放射,发作时伴冷汗,服速效救心丸、吸氧后可缓解。1987年3月20日下午上述症又发
Abnormal Q wave is an important basis for the diagnosis of myocardial infarction, but some diseases make the myocardial metabolic disorders or severe ischemia, Q waves can also occur. We recently encountered a case of abnormal Q wave with extensive anterior and posterior myocardial ischemia lasting 4 days. The male, 58 years old, had intermittent chest pain and chest tightness for 6 days, complained of aggravating one day and was hospitalized on March 20, 1987. Pre-admission intermittent left chest crushing dull pain, and to the left shoulder radiation, with cold sweating seizures, fast acting rescue pill, oxygen can be alleviated. March 20, 1987 afternoon the above-mentioned disease again