50例急性右室心肌梗死临床分析.pdfVIP

【l1国医药导刊 ·457· 2007年 第9卷 第6期(总第53期) 50例急性右室心肌梗死临床分析 薛成年 金功文 (安徽省巢湖市第一人民医院心内科，巢湖238000) 【摘要】目的：探讨5O例急性右室心肌梗死(MI)患者的临床特点。方法：对5O例确诊为急性右室MI包括合并下壁和 (或)正后壁及前壁MI的患者临床资料进行回顾性分析。结果：单纯右室MI患者2例，合并下壁和(或)后壁患者34例， 合并前壁患者14例，同时有下壁和(或)后壁+前壁患者2例。心力衰竭患者22例(44％)，室性心律失常27例(54％)，III 度房室传导阻滞(AVB)5例(10％)，住院死亡5例(10％)。结论：临床上急性MI出现右心衰竭症状患者应该考虑存在右 室MI；合并右室MI漏诊率高、诊疗相对困难、死亡率高；治疗上与其他MI存在一定差异，应区别对待，否则影响预后。 【关键词】急性右室心肌梗死；临床分析 【中图分类号】R544．1 4 【文献标识码】A 【文章编号】1009—0959(2iXF／)06—0457—02 Clinical Analysis in 50 Patients with Acute Right Ventricular Myocardial Infarction Xue Chen—nian，lin Gong—wen (Department of Cardiology，the Filst Hospital of Chaohu City，Chaohu 238000，China) 【ABSTRACT】Objective：ToexploretheclinicalehmaeteristiesinthepatientswithAcuteRightVentrieularMyocardialInfarction．Meth- ods：50 cases were diagnosed as acute right ventricular myocardial infarction,combined with inferior．posterior and anterior wall myocar- dial infarction．Their clinical data were analyzed retrospectively．Results：2 eases were diagnosed as fight ventricular myocardial infarc- tion，34easeswere comb inedwith inferiorand posteriorwallmyocardialinfarction，14caseswere comb inedanteriorwallinfarction．2caB- es were combinedwithanterior，posteriorandinferiorwallmyocardialinfarction．22patientswere suffered heartfailure(44％)。27cases wereincurredventrieulararrhythmias(54％)，5 casesoccurredIII。atrioventricularblock(AVB)(1O％)，5 cases diedinhospital(10％)． Conclusions：The morbidity ofacute myocardial infarction in right ventricular was lower than in left ventriculat。 rhe diagnosis and缸lea【． ment of the former were mo