Coronary artery bypass grafting abnormal Q wave analysis of three cases misdiagnosed as acute myocardial infarction


Miles, Subpopulations, Tian Jiazheng, e dynamic changes of the coronary artery bypass grafting ECG [Jj. e clinical Electrocardiology, 2000,9 (1) :21-23 .14 irotaY. KitaY, ujiR, eta1. ProminentnegativeTwaveswithQTprolongationindicater eperfusioninjuryandmyocardialstun-ningJ. Cardial, 1992,22 (2-3) :325-340 .5] Wang Xing, Zhu Yun Di Dongmei, et al. Lesion with OPB perioperative myocardial stunned ECG changes [J]. Practical Electrocardiology, 2005,14 (4) :254-255. Date Received :2007-11-17; Revised :2008-02-04 Editor: Wei Jian cerebral cysticercosis misdiagnosed cases 【Key words】 nervous system cysticercosis / diagnosis; misdiagnosed [CLC] R532 .330.4 St offer code] B of cerebral cysticercosis misdiagnosed two cases of analysis are as follows. High Ikue a medical summary Example 1: Male, 52 years old. e main cause of recurrent headache with nausea and vomiting, two more than a month at 2006-10-24 hospital. Patients 2 months ago no incentive headache, no fever, convulsions, no subcutaneous nodules. Headache aggravated by cold treatment, and was persistent pain with nausea and vomiting, stomach contents, headache of unknown origin of the local hospital diagnosed intracranial hypertension and to mannitol and antiemetic symptomatic treatment of two weeks,moncler paris, symptoms and discharged. Discharged after two weeks, the patient developed headache, vomiting, increase the brain scan: see multiple round cystic low density lesions in the brain parenchyma, the border is long clear, surrounded by mild edema. diagnosis of multiple intracranial cystic space-occupying, except for metastases? Recommended further examination. MRI examinations: unenhanced brain seen multiple size, ranging from round cystic lesions T1wI low signal-based,ugg boots uk, part the lesions T1wI intracapsular the high-signal; T2wI high signal. Part of the perifocal see small pieces of edema, enhanced scan lesions showed ring enhancement and nodular enhancement, peripheral edema, no enhancement, no offset of midline structures. MRI diagnosis of intracranial multiple round cystic lesions ranging in size class, consider the metastatic tumor and bleeding may be. Outpatient brain metastases and bleeding income hospitalization. Physical examination: BP150/90mmHg, conscious and unresponsive, neck and soft, sensitive bilateral pupillary reaction, heart, lungs, abdomen (one). Does not touch the skin and muscle nodules. Limbs, tendon reflexes, normal and pathological reflex was not elicited. Laboratory tests: blood WB.6 × 109 / i, ESR17mm / h, urine, stool, liver and kidney function, fasting blood glucose testing is of unit: Hebei Province the Luannan hospital room 063 500 [Article ID] 1009-6647 (2008) 19-4655 - 02 often. No significant improvement in symptomatic treatment of patients with symptoms for further examination serum cysticercosis antibody positive (ELI), the final diagnosis: cerebral cysticercosis. Example 2: Male, 72 years old. e main cause of recurrent headache, dizziness attack three months,franklin marshall soldes, and attacks associated with nausea, not vomiting, seizures and limb movement disorder. e examination: T36., P84 times / min, R18 / min, and BP165/90mmHg,ralph lauren sverige, unresponsive and apathetic. Heart rate Qi, pathological murmur. Lungs auscultation were normal. Liver and spleen not palpable. Nervous system examination was normal. Freedom of movement of limbs, spine, normal muscle strength. Pathological signs were negative. ESR10mm / h. e skull I] ~ plain scan: brain parenchyma is scattered in multiple, vary in size, round low-density lesions and nodular slightly higher density film, part of the perifocal see diagnosis of brain metastases? After subcutaneous nodule biopsy, the diagnosis of cerebral cysticercosis. e two discuss neurocysticercosis pig tapeworm larvae, pouch tail immature parasitic in the human brain, is an allergic disease, distributing in the Northwest and North China,moncler sale online, Northeast and other regions. Cerebral cysticercosis significant size difference, and the polydispersity can also single. Can affect the brain parenchyma, ventricles, meninges, or both involved. Its imaging performance mainly cystic hypodense. Enhanced visibility of the ring enhancement and wall nodular enhancement III. With multiple cystic brain metastases in clinical manifestations and imaging findings is very similar, but both are not the same. (1) clinical history of cerebral cysticercosis history of rice pork, metastases of the primary disease history; cerebral cysticercosis can occur at any age, young multiple. No significant response to the human body to live cysticerci and thus often no obvious symptoms in the clinical signs, then cerebrospinal fluid cysticercosis