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急性心肌梗死并发左心衰竭22例临床分析
引用本文:李乐雯,张艳,习隽丽,王家昆. 急性心肌梗死并发左心衰竭22例临床分析[J]. 海南医学院学报, 2009, 15(7): 790-791
作者姓名:李乐雯  张艳  习隽丽  王家昆
作者单位:海南省干部疗养院内科,海南,海口,570000
基金项目:海南医学院科研基金资助学报项目 
摘    要:目的:探讨急性心肌梗死(AMT)合并急性左心衰竭的临床特点。方法:回顾性分析22例AMT合并急性左心衰竭,心功能Ⅲ级以上患者的临床资料及二维超声心动图检查结果。结果:22例中,及时诊断12例,延时诊断10例。抢救成功17例,成功率为77.3%,死亡5例。结论:AMT合并急性左心衰竭多为无痛性梗死,二维超声心动图表现多为急性外透壁性梗死。

关 键 词:心肌梗死  心力衰竭  充血性  临床分析

Clinical analysis of 22 cases with acute myocardial infarction complicated with left heart failure
LI Le-wen,ZHANG Yan,XI Juan-li,WANG Jia-kun. Clinical analysis of 22 cases with acute myocardial infarction complicated with left heart failure[J]. Journal of Hainan Medical College, 2009, 15(7): 790-791
Authors:LI Le-wen  ZHANG Yan  XI Juan-li  WANG Jia-kun
Affiliation:(Department of Internal Medicine, Cadres'Sanatorium in Hainan Province Haikou 570000, China)
Abstract:Objective:To explore the clinical character of acute myocardial infarction(AMT)complicated with acute left heart failure.Methods:Retrospectively analyzed clinical data and two-dimensional echocardiography of 22 AMT cases complicated with left heart failure and atⅢ stage of heart function.Results:12 cases had prompt diagnosis,and 10 cases had delayed diagnosis.17 cases were rescued successfully,and 5 were dead,with the success rate as 77.3%.Conclusion:Most of AMT cases complicated with acute left heart failure had painless infarction.And two-dimensional echocardiography shows more non-transmural myocardial infarction.
Keywords:Myocardial infarction  Heart failure,congestive  Clinical analysis
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