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患者女,28岁,干部。以恶:心呕吐伴上腹部疼痛2小时于1998年9月15日急诊入院。患者当天下午进食剩鱼肉1小时后出现上述症状。查体:心肺无异常。剑突下压痛,无反跳痛,无放射性。肝、脾未触及,诊断急性胃炎。给予硫酸阿托品1mg肌注。10分钟后即感胸闷、气憋及心前区疼痛。呈急性病容、心电图示窦性心动过速,心率130次/分,频发结性期前收缩呈二联律伴短阵室上速。与V_1导联外,其余导联均出现下斜型ST段降低3～8mV,大部分导联T波倒置,倒置程度较深,T波增宽,两肢对称。上述的ST—T改变持续2小时给予吸氧患者出现呕吐,非喷射性,腹泻水样便后临床症状缓解。复查心电图窦性心动过缓ST段呈下垂形与低平T波融合。
Female patient, 28 years old, cadre. Evil: vomiting with abdominal pain for 2 hours on September 15, 1998 emergency admission. Patients in the afternoon after eating fish left after 1 hour of the above symptoms. Physical examination: no abnormal heart and lung. Xiphoid tenderness, no rebound tenderness, no radioactivity. Liver, spleen not touched, the diagnosis of acute gastritis. Given atropine sulfate 1mg intramuscular injection. Chest tightness after 10 minutes, gas and pre-heart acupuncture pain. Was acute disease, electrocardiogram shows sinus tachycardia, heart rate 130 beats / min, frequent nodular contractions were two associated with paroxysmal supraventricular tachycardia. In addition to the V_1 lead, all the leads showed a descending ST-segment elevation of 3 to 8 mV. Most of the leads showed an inverted T wave with a large inversion and a widened T wave, with symmetrical limbs. The ST-T changes described above continued for 2 hours to give vomiting in patients with oxygen, non-spray, diarrhea, watery clinical symptoms will be relieved. Review of electrocardiographic sinus bradycardia ST segment was droop and low T wave fusion.