%0 Journal Article
%T 儿童de Winter综合征一例<br>De Winter Syndrome in Children: A Case Report
%A 周中兴
%A 陈丽霞
%A 张再伟
%J Asian Case Reports in Pediatrics
%P 1-6
%@ 2328-0441
%D 2022
%I Hans Publishing
%R 10.12677/ACRP.2022.101001
%X 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。<br />
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.
%K 儿童，de Winter综合征<br>Children
%K de Winter Syndrome
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=50260