【摘要】 目的探讨急诊床旁超声心动图(EB-Echo)检查的临床应用价值。方法回顾性分析我院2003年1月至2004年6月期间行EB-Echo检查的190例患者资料。结果190例患者中,胸痛者78例,超声诊断为急性心肌梗死(AMI)者48例,符合率94.1%。诊断主动脉夹层者5例,肺栓塞者3例,符合率均为100%;心功不全者61例;发热待查者24例,诊断感染性心内膜炎1例,排除赘生物者23例;临床怀疑先天性心脏病者6例,超声确诊5例,排除1例;心包积液超声引导定位穿刺10例;诊断左心房附壁血栓2例;肥厚型梗阻性心肌病1例。结论EB-Echo可快捷、方便地为临床做出诊断。更多还原

【Abstract】 Objective To explore the value of the clinical application in emergency bedside- Echocardiography (EB-Echo).Methods We conducted a retrospective analysis of 190 cases that received examination by EB-Echo from Jan 2003 to Jun 2004.Results In the 78 chest pain patients,Echo detected the acute myocardial infarction 48 cases,aortic dissection 5 cases,and pulmonary embolism 3 cases.Left ventricular function was evaluated in 61 heart failure cases.1 case was found mitral valve and aortic valve vegetations in 24 fever patients.5 cases were verified in 6 suspected congenital heart disease.Pericardial effusion 10 cases were undergone puncturing by EB-Echo guiding.2 cases with left atrial thrombus and 1 case hypertrophic obstructive cardiomyopathy were detected.Conclusions The EB-Echo provided the information of diagnosis and differential diagnosis immeately and conveniently.更多还原