儿童de Winter综合征一例
De Winter Syndrome in Children: A Case Report
DOI: 10.12677/ACRP.2022.101001, PDF,   
作者: 周中兴, 陈丽霞, 张再伟：济宁市第一人民医院心内科，济宁市心血管病研究所，山东 济宁
关键词: 儿童；de Winter综合征；Children； de Winter Syndrome
摘要: de winter综合征特征心电图表现为上斜性ST段压低伴T波对称高尖，很快进展为ST段抬高型心肌梗死，及早识别该心电图演变，早期行冠脉血运重建治疗，挽救患者生命。本文报道1例10岁患儿心电图早期出现de winter表现，结合心肌酶及肌钙蛋白的动态改变，完善冠脉造影检查，证实为前降支(Left anterior descending, LAD)近段急性闭塞病变，给予行急诊介入治疗。
Abstract: The characteristic ECG of de Winter syndrome is up-slope ST-segment depression with symmetric high apex of T wave, which quickly progresses to ST-segment elevation myocardial infarction. Such ECG pattern should be identified early and emergency reperfusion therapy saves the patient's life. We report a 10-year-old child with early ECG manifestations of de winter. Combined with the dynamic changes of myocardial enzymes and troponin, the coronary angiography examination was perfected with emergency interventional therapy.
文章引用：周中兴, 陈丽霞, 张再伟. 儿童de Winter综合征一例[J]. 亚洲儿科病例研究, 2022, 10(1): 1-6. https://doi.org/10.12677/ACRP.2022.101001

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