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急性心肌梗塞合并左室附壁血栓的超声研究
引用本文:何成一,王丽君,黑田敏男,岛田和幸. 急性心肌梗塞合并左室附壁血栓的超声研究[J]. 中国超声医学杂志, 1998, 14(7): 43-45
作者姓名:何成一  王丽君  黑田敏男  岛田和幸
作者单位:沈阳中国医科大学第二临床学院心内科,日本自治医科大学循环内科
摘    要:本文以532例急性心肌梗塞患者为对象,以心脏超声为手段,检出左室附壁血栓37例,占各部位梗塞的7%,前壁梗塞的13%,明显低于欧美的报告。该血栓易发生于前壁、大面积梗塞及室壁运动障碍的患者,于心梗发病后2±2天出现于左室心尖部,其形态多为附壁形,少为伸探形。继发周围动脉栓塞2例(5.4%)。5例(14%)演变为机化型血栓,其余于入院后第19±8天溶解消失

关 键 词:心肌梗塞  左室附壁血栓  心脏超声

Echo Study of Left Ventricular Thrombus Induced by Acute Myocardial Infarction
He Chengyi,Wang Lijun,Kuroda Toshio,et al Second Clinical College,China Medical University,Shenyang. Echo Study of Left Ventricular Thrombus Induced by Acute Myocardial Infarction[J]. Chinese Journal of Ultrasound in Medicine, 1998, 14(7): 43-45
Authors:He Chengyi  Wang Lijun  Kuroda Toshio  et al Second Clinical College  China Medical University  Shenyang
Affiliation:He Chengyi,Wang Lijun,Kuroda Toshio,et al Second Clinical College,China Medical University,Shenyang 110003
Abstract:Thirty seven cases with left ventricular thrombi(LVT)were detected by echography among 532 Japanese AMI patients.The incidence,7% of total MI or 13% of anterior MI,was significantly lower than those reported by westerners.LVTs more often developed in those with MI of antereior wall,large area and severe asynergy.around 22 days after MI onset they appeared at the site of LV apex in more mural and less protruding shapes.Embolisms from LVT occurred in 5 4%.14% of LVTs ended its persistence,the others disappeared around 198 days after in hospital management.
Keywords:Acute myocardial infarction Left ventricular thrombosis  
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