肝吸蟲病伴發膽心綜合征1例

One case report of Liver fluke with bilio-cardiac syndrome

患者男性,58歲,順德人,因“心前區及上腹部劇烈疼痛2小時”到急診求診,訴頭暈乏力,視朦伴嘔吐。既往有膽囊切除手術史。體查:T:36度,P:45次1分,RR 20次1分,BP:66/33mHg。神清,痛苦面容,鞏膜無黃染,雙肺未聞濕嚯音,心率45次1分,律齊,上腹部壓痛,肝叩擊痛陽性,腸鳴存,肢端濕冷。初步:擬診心臟血管急症或急腹症,急診予積極補液擴容、阿托品。