急诊床旁超声心动图在急性心肌梗死病人监护病房的临床应用价值

目的：探讨急诊床旁超声心动图（UCG）在急性心肌梗死病人监护病房（cardiac care unit,CCU)的临床应用价值。方法：回顾性分析了2000年4月至2001年3月进行急诊旁UCG检查的116例临床病例。结果：急诊床旁UCG检查的阳性率100％，本组116例中冠心病57例（49％），其中心肌梗死41例（35．0％），心绞痛16例（14．0％），高血压心脏病26例（22．5％），风湿性心脏病9例（7．8％），扩张型心肌病9例（7．8％），主动脉夹层瘤7例（6．0％），其他8例（6．9％）。结论：急诊床旁UCG检查，作为心脏急症诊断的辅助手段，无论在诊断阳性率方面，还是在对临床干预的结果方面，均具有重要的临床应用价值。

Clinical value of emergency bedside ultrasonocardiogram in cardiac care unit]

OBJECTIVE: To evaluate the clinical value of application of emergency bedside ultrasound cardiogram (UCG) in cardiac intensive care unit. METHODS: We conducted a retrospective analysis of 116 cases who received examination with emergency bedside UCG within the period from April 2000 to March 2001. RESULTS: The positivity rate of examination with emergency bedside UCG was 100% among these patients. The diseases identified were as follows: acute myocardial infarction in 41 cases, angina pectoris in 16, ventricular aneurysm in 5, perforation of ventricular septum in 2, rheumatic valvular disease in 9, dilated cardiomyopathy in 9 and aortic dissecting aneurysm in 7. CONCLUSION: Emergency bedside UCG has important value in clinical diagnosis of cardiac emergencies.