心肌梗塞合并室壁瘤患者心功能的评价  

Evaluation of Left Ventricular Function in the Patients with Post Infarction Ventricular Aneurysm

作　　者：沈玉祥[1] 唐昆泉 潘天然 张爱光[1] 金宏一[1] 袁建军[2] 马桂英[2] 

机构地区：[1]河南省人民医院心血管内科 [2]河南省人民医院超声心动室

出　　处：《起搏与心脏》1990年第1期19-21,共3页

摘　　要：对29例心肌梗塞合并室壁瘤和38例未合并室壁瘤病人的二维超声心动图、心电图、X线胸片和临床心功能的对照分析结果表明:(1)室壁瘤组与无室壁瘤组,临床心功能≥Ⅱ级者分别占90％与55％,EF值分别为43Z±12％与65±11％(P<0.01),表明心功能不全是室壁瘤病人常见的并发症;(2)EF值与QRS记分、壁瘤范围均呈负相关,r分别=-0.42及-0.59(P分别<0.01及<0.005),且壁瘤范围又与ORS记分呈正相关,r=0.33(P<0.05),说明梗塞面积大,壁瘤范围亦大,而心功能则差;(3)EF值与抬高的ST段≥2mm的导联数或∑ST未显示明显的关系。Comparative analysis of 2-dimensinal Echocardiography (2-DE), Electrocardiography, Roentgenogram of chest and clinical cardiac function in 29 cases of patients with post infarction ventricular aneurysm showed: (1) Those with cardiac function≥II was 90% and 55% in group with aneurysm and group with no aneurysm respectively) EF value was 43±12% and 65±11%(P<0. 01)respectively. These suggested that left ventricular failure was one of the common complications in patients with post infarction ventricular aneurysm; (2) EF value was negatively relative to QRS scoring and the size of aneurysm, r being-0. 42 and-0. 59(P<0. 01 and<0. 005); size of aneurysm was positively relative to QRS scoring r=0. 33(p<0. 05). These showed that the larger the size of the infarction, the larger the size of ventricular aneurysm and the more worse the cardiac function was; (3) EF value showed no correlation with the number of leads with ST segment elevation≥2mm or ∑ST in electricardigraphy.

关 键 词：室壁瘤 心功能 超声心动图 心电图 心肌梗塞 

分 类 号：R542.22[医药卫生—心血管疾病] R540.41[医药卫生—内科学]