| 急性下壁心肌梗塞的临床特征分析 |
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| 引用本文： | 邢承仪,孟庆义.急性下壁心肌梗塞的临床特征分析[J].首都医学院学报,1997,18(1):64-67. |
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| 作者姓名： | 邢承仪 孟庆义 |
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| 作者单位： | [1]首都医科大学宣武医院综合科 [2]解放军总医院 |
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| 摘 要： | 对１２０例急性下壁心肌梗塞进行了临床分析。结果表明急性下壁心肌梗塞时以右冠状动脉病变为主（３０／３５，８８．６％），合并右室梗塞时多为右冠状动脉近端病变。急性下壁心肌梗塞合并胸前常规导联ＳＴ段抬高组以累及右室者为多（４２．９％，１２／２８），而合并胸前导联ＳＴ段压低者则以累及后侧壁为多（５４．９％，２８／５１）。结果提示右室梗塞合并邻近部位梗塞者预后不良。
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| 关 键 词： | 心肌梗塞 心电图 冠状动脉造影 |
| 收稿时间： | 1996-10-15 |
Clinical Characteristics Analysis of Acute Inferior Wall Myocardial Infarction |
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| Xing Chengyi,Chen Bingliang General.Clinical Characteristics Analysis of Acute Inferior Wall Myocardial Infarction[J].Journal of Capital University of Medical Sciences,1997,18(1):64-67. |
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| Authors: | Xing Chengyi Chen Bingliang General |
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| Institution: | Xing Chengyi,Chen Bingliang General Department of Xuanwu Hospital,Affiliate of Capital University of Medical Sciences Meng Qingyi General Hospital of PLA |
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| Abstract: | Characteristics of acute inferior wall myocardial infarction were analysed in 120 patients.The results showed that the diseased right coronary artery related highly to the acute inferior myocardial infarction,while the proximal lesion of right coronary artery related highly to the right ventricular involvement.In term of the electrocardiographic features, the case with anterior ST segment elevation frequently associated with right ventricular infarction (42.9%,12/28)and that with anterior ST segment depression frequently with lateral posterior wall infarction (54.9%,28/51).The results also showed that cases with right ventricular and/or lateral posterior wall infarction were apt to have a worse prognosis. |
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| Keywords: | myocardial infarction electrocardiography coronary angiography |
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