升主动脉夹层破裂伴特发性弥漫性肺骨化症1例

发布时间：2018-06-28 18:39

本文选题：主动脉夹层破裂 + 特发性弥漫性肺骨化症　；参考：《临床与实验病理学杂志》2017年11期

【摘要】：正患者男性,46岁,因胸痛1 h就诊于河北省承德市某医院急诊科。患者无恶心、呕吐,无胸闷气短、呼吸困难。入院后查心电图,给予吸氧,建立静脉通路,硝酸甘油0.5 mg舌下含服,肌注地佐辛5 mg,患者诉稍缓解,行胸部后前位片、胸部、上腹部CT、腹部B超、心脏超声、心肌酶、心梗三项、电解质及血常规检查。CT考虑肠梗阻,其余各项检查未见明显异常,遂按肠梗阻治疗。当日约17:00患者如厕时突然倒地,呼吸、心跳骤停,紧急抢救给予心肺复苏,经抢救无效死亡。患者死亡后,第二天行尸体解剖。
[Abstract]:A 46-year-old male with chest pain was admitted to the emergency department of a hospital in Chengde City, Hebei Province. The patient had no nausea, vomiting, chest tightness, shortness of breath and dyspnea. After admission, electrocardiogram was examined, oxygen was inhaled, vein passage was established, nitroglycerin 0.5 mg sublingual administration, dizosin 5 mg intramuscularly, patients complained of slight remission, chest, upper abdomen CTS, abdominal B ultrasound, cardiac ultrasound, myocardial enzyme. Three items of myocardial infarction, electrolyte and blood routine examination. Ct considered intestinal obstruction. At about 17:00, the patient suddenly fell to the ground, breathing, cardiac arrest, emergency rescue to cardiopulmonary resuscitation. After the patient died, an autopsy was performed the next day.
【作者单位】：河北省承德市中心医院病理科;河北省承德市中心医院放射科;
【分类号】：R543.1;R563

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