急性右心室心肌梗塞的治疗体会  

Experience of Acute Right Ventricular Myocardial Infarction

作　　者：陈光远[1] 

机构地区：[1]黑龙江省哈尔滨市第一医院,150010

出　　处：《中国继续医学教育》2015年第5期115-116,共2页China Continuing Medical Education

摘　　要：目的对急性右心室心肌梗塞患者临床诊断和治疗方法进行探讨分析。方法根据2010~2013年我院的80例急性右心室心肌梗塞患者来进行研究分析,对患者的早期心电图情况进行诊断和治疗观察。结果本研究80例急性右心室心肌梗塞患者,死亡2例,病死率2.5%。2例死亡患者均死于心力衰竭;其余78例患者治疗后痊愈,治愈率97.5%。结论临床中急性右心室心肌梗塞患者使用心电图来进行诊断的效果比较好,通过对患者提供扩容升压治疗效果比较好,血管扩张剂视情况使用,利尿剂和洋地黄不推介使用,此次研究的80例患者经过升压扩容后,症状改善明显,提升了患者的存活率。Objective To explore the analysis of acute right ventricular myocardial infarction in patients with clinical diagnosis and treatment. Methods 80 cases of acute right ventricular myocardial infarction patients to carry on the research analysis from 2010 to 2013 in our hospital, were observed for the diagnosis and treatment of early electrocardiogram of patients with. Results 80 patients with acute right ventricular myocardial infarction patients, 2 cases died, the mortality rate 2.5%. 2 death cases of patients died of heart failure; the remaining 78 patients cured, the cure rate was 97.5%. Conclusion The clinical acute right ventricular myocardial infarction patients using the electrocardiogram to diagnose effect is better, by providing a boost for expansion in patients with better treatment effect, depending on the circumstances, the use of vasodilators, diuretics and digitalis is not recommended, 80 cases of the study patients after booster expansion after, symptoms improved significantly, improve survival rate patients.

关 键 词：急性右心室心肌梗塞 治疗 诊断 

分 类 号：R542[医药卫生—心血管疾病]