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【心电图学习笔记】 De winter 综合征心电图为什么要引起重视?

  • 2026-02-09 11:55:38
【心电图学习笔记】 De winter 综合征心电图为什么要引起重视?
      2008年De Winter等在新英格兰杂志发表了一个提示左前降支近端闭塞但无ST段抬高的心电图表现，主要特征为胸前导联V1-V6 ST段呈上斜形压低，J点压低，压低的ST段移行为对称高尖的T波，部分患者伴有胸前导联R波递增不良

图一  脑出血住院病人，报危急值，无处理方案，继观，需要注意的是临床中脑出血病的Dewinter波，可能跟交感神经过度兴奋和儿茶酚胺风暴有关，而不是像典型De Winter综合征那样由前降支急性闭塞引起。

图二患者普通门诊就诊，发病数小时遂建议急诊入院。

图三患者胸闷，外院行心电图，未重视，患者行至本院挂普通门诊，中间间隔数小时

图二、三都可见显著J点压低，导联ST段上斜型压低，对称性高尖T波。急诊PCI见左前降支闭塞，

此类病情危重，需要跟急性心梗同等对待，需引起重视，患者需要制动，患者随时可能猝死，

以上是新英格兰杂志发表的八种形态

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  1. CONNECT:[ UseTime:0.000586s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
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  12. SELECT * FROM `article` WHERE `id` > 462739 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.023522s ]
  13. SELECT * FROM `article` WHERE `id` < 462739 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.002292s ]
  14. SELECT * FROM `article` WHERE `id` < 462739 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.003282s ]
  15. SELECT * FROM `article` WHERE `id` < 462739 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.005336s ]
0.116992s