急性右室心肌梗塞诊疗探讨  

DIAGNOSIS AND TREATMENT IN ACUTE RIGHT VENTRICULAR MYOCARDIAL INFARCTION

作　　者：曾建新 刘保威 姚玉兴 曹宏宇[1,2] 

机构地区：[1]广州花都市人民医院外科,510800 [2]江西医学院第一附属医院心内科

出　　处：《中国现代医学杂志》2001年第1期31-33,共3页China Journal of Modern Medicine

摘　　要：目的 :探讨急性右室心肌梗塞诊断和治疗方法。方法 :12 0例急性心肌梗塞 ,根据心电图改变 ,分为右室心梗组及非右心梗组 ,研究急性右室心梗心电图、颈静脉怒张、肺部 口罗音和未愈率及对补液量和硝酸甘油治疗反应 ,并与非右室心梗组比较。结果 :V4RST段抬高率明显大于V7R(P <0 .0 5 ) ,颈静脉怒张明显高于非右室心梗阻 ,硝酸甘油滴速低于非右室心梗组 (P <0 .0 5 )未愈率、肺部 口罗音、每日补液量和硝酸甘油适应性两组之间无差异 (P >0 .0 5 )。结论 :V4RST段抬高对急性右室心梗诊断价值远大于7R,颈静脉怒张有助于诊断急性右室心肌梗塞 ,硝酸甘油剂量适当减少 。Objective:To sudy diagnosis and treatment in acute right ventricular myocardial infarction(ARVMI).Methods:One hundred and twenty cases of acute myocardial infarction were divided into group of ARVMI and group of no-ARVMI depending on ECG.ECG,distended neck veins,moist rales,volume of infused liquid and reaction to nitroglycerin in ARVMI were studied and compared with no-ARVMI.Results:The rate of V 4R ST segment was significantly higher than V 7R (P<0.05),the incidence of distended neck veins was higher in group of ARVMI,than in group of no-ARVMI,but drip speed of nitroglycerin was lower in group of ARVMI than no-ARVMI(P<0.05).No significant difference was found in uncured rate,moist rales,volume of infused liquid in every day and eligibility to nitroglycerin.Conclusions:V 4R ST segment elevated than V 7R has more diagnostic value to ARVMI,distended neck veins also help to diagnose ARVMI,therapeutic dose of nitroglycerin must be minished and volume expansion needn't be stressed.

关 键 词：心肌梗塞 诊断 治疗 

分 类 号：R542.22[医药卫生—心血管疾病]