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急性菌痢致一过性异常Q波临床较少见,现将我院所遇2例报告如下。二例患者入院时情况见附表。本文2例均明确诊断为急性菌痢,入院后予以PPA、氨苄青霉素、补液等治疗,但均于次日突然出现心悸、胸闷、唇绀,急查ECG例1、ⅡⅢ、aVF是QS波,ST段呈弓背向上抬高0.2～0.4mV;例2 V_1～V_4呈QS波,STv_(1～4)呈弓背向上抬高0.2～0.4mV,血清酶谱均正常。经积极抗感染及加强心肌保护等治疗措施,2例分别于第3天及第4天后临床症状缓解,ECG上QS波消失,ST段
Acute dysentery caused by a transient Q wave clinical less common, now encountered in our hospital 2 cases are as follows. Two patients admitted to the table see the schedule. In this paper, 2 cases were diagnosed as acute bacillary dysentery, admission to PPA, ampicillin, rehydration and other treatment, but were the next day a sudden heart palpitations, chest tightness, cyanosis, urgent ECG cases 1, Ⅱ Ⅲ, aVF is QS wave, The ST segment was raised 0.2-0.4 mV in the dorsal direction of the bow. Case 2 V_1 ~ V_4 was a QS wave. STv_ (1 ~ 4) was raised 0.2 ~ 0.4 mV in the back of the bow, and the serum enzymes were normal. After active anti-infection and myocardial protection and other treatment measures, 2 patients were relieved of clinical symptoms after 3 days and 4 days, QS wave disappeared on ECG, ST segment