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床边超声心动图在评价急性心肌梗塞中的应用

The application of bedside echocardiography in the diagnosis of acute myocardial infarction

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【作者】 钱建芬张绍昌倪幼方吴福娣

【Author】 Qian Jian Feng;Zhang Shao Chang;Ni You Fang; Wu Fu Di Department of Ultrasound Shanghai Chest Hospital,200030

【机构】 上海胸科医院超声科上海胸科医院超声科 200030200030

【摘要】 目的:心超对早期急性心肌梗塞断及期预后的估测。方法:患者分Q波组与无Q波组,存活组与死亡组,前壁心梗与后壁心梗组;以异常节段数,异常节段指数,酶峰,射血分数做统计分析。结果:1.无Q波组在急性心梗早期即有室壁活动异常,2.急性心梗早期异常节段指数〉8者,预后差。结论:心超对急性心梗早期的诊断,预后提供了重要依据。

【Abstract】 PurposeTo evaluate the diagnosi and prognosis of early acute myocardial infarction with two - dimensional echocardiogra-phy. Methods: 23 consecutive pathients were divided into Q wave vs non - Qwave gruop . The amount and index score of wall motion abnormalities, ejecion fraction, and enzymatic data were used for statistical analysis. Results: 1. Wall motion abnormalities were detected in the early stage in all patients with non - Q wave myocardial infarction, 2. Patients with high wall motion index score may have a high mortalities. Conclusion: Two - dimensional echocardiography plays an important role in providing early diagnosis and prognosis data in patients with acute myocardial infarction.

  • 【文献出处】 上海医学影像 ,Shanghai Medical Imaging , 编辑部邮箱 ,2000年03期
  • 【分类号】R445.1
  • 【被引频次】1
  • 【下载频次】13
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