| 心肌梗塞后室壁瘤(附二例报告) |
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| 引用本文： | 卜伟. 心肌梗塞后室壁瘤(附二例报告)[J]. 皖南医学院学报, 1988, 0(Z1) |
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| 作者姓名： | 卜伟 |
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| 作者单位： | 皖南医学院附属弋医山医院内科 |
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| 摘 要： | 心肌梗塞后室壁瘤的形成较为少见。本文报告二例由B超确诊的心尖部室壁瘤。就形成室壁瘤的病理解剖基础和病理生理、真假室壁瘤的鉴别,分别作了讨论。心肌梗塞后心电图持久性S—T段升高现象,可能是诊断室壁瘤较有价值的早期线索,而B超只可用于确诊和瘤的定位。本文还讨论了室壁瘤手术的适应症和手术时间。
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| 关 键 词： | 室壁瘤/病因学 室壁瘤/诊断 心肌梗塞/并发症 S—T段抬高。 |
POSTINFARCTION VENTRICULAR ANEURYSM A REPORT OF 2 CASES |
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| Bu Wei. POSTINFARCTION VENTRICULAR ANEURYSM A REPORT OF 2 CASES[J]. Acta Academiae Medicinae Wannan, 1988, 0(Z1) |
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| Authors: | Bu Wei |
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| Affiliation: | Bu Wei Department of medicine,Yijishan Hospital,Wannan medieal college,Wuhu |
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| Abstract: | The formation of anterior left ventricular (LV)aneurysm after myocar- dial nfarction is relatively uncommon. 2 cases of the apical ventricular aneu- rysm comfirmed by B-mode ultrasonography are reported in this paper. The pathologieoanatomic and pathophysiological features of aneurysm and the differentiotion of true aneurysm from false aneurysm are discussed. The ECG feature of the persistent S-T segment elevation following myocardial infarc- tion is valuable, while B-mode ultrasonography is used to assess the presence and loeation of an aneurysm. The time and the indication of ventrieular aneurysmectomy is also discussed briefly. |
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| Keywords: | heart aneurysm/~*ET heart aneurysm/~*DI infarction/~*CO S-T segment elevation |
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