心肌酶谱异常、心电图ST段抬高误诊心肌梗死病例分析  

One case about pheochromocytoma misdiagnosing acute myocardial infarction

作　　者：陈英[1,2] 曹佳宁[1] 杨承健[1] 李勋[2] 

机构地区：[1]南京医科大学附属无锡二院心内科,江苏无锡214000 [2]苏州大学附属第一医院心内科,江苏苏州215006

出　　处：《临床心血管病杂志》2017年第11期1128-1130,共3页Journal of Clinical Cardiology

摘　　要：1病例资料 患者,男,59岁,否认高血压史,因＂反复中上腹不适9年,加重半月＂来院急诊,患者9年前起反复中上腹烧灼感、饥饿感,发作与活动无关,每次发作数分钟,伴恶心、呕吐胃内容物,未予重视。入院前半月,患者中上腹不适发作较前频繁,入院当天晨起患者觉中上腹持续性烧灼感,饥饿感,伴恶心、A 59-year-old male patient with repeated epigastric discomfort for nine years,who presented with hypertension,abnormal myocardial enzyme spectrum,ST segment elevation and with a dynamic evolution in ECG,was initially diagnosed acute myocardial infarction.However,coronary angiography was normal,and CT and pathological section showed pheochromocytoma.The patient was improved after surgical operation.

关 键 词：嗜铬细胞瘤 心肌梗死 误诊 CT 

分 类 号：R542.2[医药卫生—心血管疾病]