患有ST段升高心肌梗塞的患者的幻臂疼痛和耳声:一个病例报告
John Porter1, Chad P Liedl2, Kevin P Steever2
1Mayo Clinic, Cardiac Catheterization Laboratory, Rochester, Minnesota.
Clinical practice and cases in emergency medicine
|February 10, 2026
概括
本案例研究突出了ST段升高心肌梗塞 (STEMI) 期间罕见的幻臂疼痛和恶化的耳声. 对冠状动脉封闭的及时治疗解决了这些不寻常的症状.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- ST段升高心肌梗塞 (STEMI) 可能呈现异常症状.
- 幻肢疼痛和耳恶化很少在急性冠状动脉综合征中报告.
研究的目的:
- 报告一个独特的STEMI病例,出现幻臂疼痛和耳恶化.
- 讨论这些症状与心肌梗塞之间的罕见关联.
主要方法:
- 一个56岁的男性的病例报告经历了胸部疼痛,幻臂疼痛和耳.
- 通过紧急医疗服务和冠状动脉血管学证实了STEMI的诊断.
- 治疗涉及通过皮肤进行冠状动脉干预,使用药物释放支架.
主要成果:
- 识别并成功治疗了右冠状动脉100%的堵塞.
- 患者的幻肢疼痛和耳症状在干预后得到解决.
- 在手术后两天,患者在稳定的状态下出院.
结论:
- 幻肢疼痛和耳恶化可能是STEMI的不寻常症状.
- 早期识别和干预对于管理STEMI至关重要,即使是异常呈现.
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