单纯左主干病变的Kounis综合征1例

Kounis syndrome with simple left main disease: one case report

1 病例资料患者,女,58岁,因"全身皮疹伴瘙痒1 d"入院,急诊考虑过敏性皮炎,给予抗过敏治疗,症状稍缓解,入院心电图见图1。2 h后突发胸痛、呕吐,表现为心前区压榨样疼痛,呕吐物为胃内容物,心电图检查示Ⅱ、Ⅲ、aVF、V1~V5导联ST段抬高(图2),较入院心电图有明显改变,遂转入心内科治疗。既往有冠心病病史10余年,平素予丹参滴丸口服,否认高血压、糖尿病病史,有磺胺类药物过敏史,有吸烟史43年(平均15支/d),余无特殊。

A patient with the type II Kounis syndrome was analyzed in our hospital. She had obvious allergic reactions and clinical manifestations of acute myocardial infarction, as well as abnormal laboratory examinations. Coronary angiography results showed that the LM orifice lumen was obstructed about 95%. Kounis syndrome with simple left main disease is extremely rare. The treatment of Kounis syndrome is careful.