| 超声心动图诊断右心室心肌梗死 |
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| 引用本文： | 郑晓荣,刘丽文,朱永胜.超声心动图诊断右心室心肌梗死[J].第四军医大学学报,2002,23(11):1049-1050. |
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| 作者姓名： | 郑晓荣 刘丽文 朱永胜 |
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| 作者单位： | 1. 第四军医大学西京医院康复楼综合特诊科,陕西,西安,710033
2. 第四军医大学西京医院超声诊断科,陕西,西安,710033 |
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| 摘 要： | 0 引言 由于右心室心肌梗死的预后较差 ,其治疗方法不同于左室心梗 ,但右心室心肌梗死的诊断一直比较困难 .右心室心肌梗死的诊断方法包括 ECG,心导管血流动力学检查心室核素显像和超声心动图 .血流动力学检查发现右心室心肌梗死的患者有心房压升高 ,肺毛细血管楔压正常或减低 1 ] ,这种血流动力学改变可以用多普勒超声心动图进行监测 .我们拟对超声心动图诊断右心室心肌梗死和判断溶栓治疗效果的价值进行初步探讨 .1 对象和方法1.1 对象 6 8例下壁心梗患者 ,平均年龄 (5 6 .0± 4 .7)岁 ,均有典型胸痛 30 min以上 ,ECG检查 II,I…
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| 关 键 词： | 超声心动图 诊断 右心室心肌梗死 |
| 文章编号： | 1000-2790(2002)11-1049-02 |
| 修稿时间： | 2001年12月13 |
Application of Doppler echocardiography in right ventricular infarction |
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| Abstract: | Transthoracic Doppler echocardiography was per-formed in 68 consecutive patients with right ventricular infarction treated with thrombolysis. The bedside examination was performed before and at 2 to 3 h after thrombolysis respectively, and a subsequent follow-up examination was scheduled 10 d later. Significant differences were found in echocardiographic findings after the thrombolytic therapy. The presence of a severe tricuspid regurgitation and of an abnormal septal motion in patients with acute myocardial infraction indicates involvement of the right ventricle. The echocardiographic findings are helpful for examining the effect of thromolytic therapy on RV dysfunction. |
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