临床实践中胸痛的病例分析课件.pptVIP

临床实践中胸痛的病例分析Chest pain and Diagnosis;对胸痛诊断策略的再认识Questions in Chest pain and Diagnosis;病例介绍;9月10日23时;心肌酶;再次就诊;;;PCI术后当天;术前半小时 CK 84U/L, CK-MB 23U/L， TNI 阴性 术后当天 CK 1828U/L, CK-MB 182U/L， TNI 26.27 术后第二天 CK 1435U/L, CK-MB 80U/L， TNI 17.61 术后第三天 CK 454U/L, CK-MB 29U/L， TNI 11.48;讨 论; 考虑非心血管疾病 ？？;？？？;冠脉CT;漏诊的急性心肌梗死Missed myocardial infarction ;Rusnak RA, Stair TO, Hansen K, et al. Litigation against the emergency physician: common features in cases of missed myocardial infarction.Ann Emerg Med. 1989, 18(10):1029-34.;Sharon A. Stephen, Blair G et al. Symptoms of acute cor