超声心动图诊断急性心肌梗死并发室间隔穿孔的价值  

Echocardiography in Acute Myocardial Infarction with Interventricular Septal Rupture

作　　者：姥义[1] 桑玉顺[1] 徐永利[1] 施海建[1] 谈卫杰[1] 

机构地区：[1]解放军第101医院超声科,江苏省无锡市214044

出　　处：《中国超声医学杂志》2009年第8期800-802,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的评价超声心动图在急性心肌梗死（心梗）并发室间隔穿孔诊断中的应用价值。 方法回顾性分析11例急性心梗患者经左心室造影或手术或介入治疗证实并发室间隔穿孔的超声心动图表现。 结果超声心动图均可清楚显示11例急性心肌梗死并发室间隔穿孔的部位、形态、大小、穿孔数目、分流量及房室瓣的反流。 结论超声心动图诊断急性心肌梗死并发室间隔穿孔具有特异性,且简便、准确,可作为诊断急性心肌梗死并发室间隔穿孔的首选影像学检查方法。Objective To evaluate echocardiography in acute myocardial infarction with interventricular septal rupture.Methods Ultrasonographic features of 11 acute myocardial infarctions with interventricular septal rupture confirmed with ventricular angiography or surgical operation or interventional therapy were analysed retrospectively.Results Echocardiography shows interventricular septal rupture distinctly in terms of the location,morphosis,size,numbers,shunted blood and backstreaming of atrio-rentriculor valve.Conclusions Echocardiography is a sensitive and accurate method for observing acute myocardial infarction with interventricular septal rupture and may be the first line imaging modilaty in the diagnosis of acute myocardial infarction with interventricular septal rupture.

关 键 词：超声心动图 急性心肌梗死 室间隔穿孔 

分 类 号：R732.1[医药卫生—肿瘤] R542.22[医药卫生—临床医学]