即时床旁超声心动图在急性胸痛患者病因鉴别诊断中应用价值  

Clinical application value of instant bedside echocardiography in etiology differential diagnosis of patients with acute chest pain

作　　者：王艳秋 周微微 刘楠楠 王效增 李阳 徐赫 WANG Yan-qiu;ZHOU Wei-wei;LIU Nan-nan;WANG Xiao-zeng;LI Yang;XU He(Cardiovascular Ultrasound in the Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Cardiology,Panjin Central Hospital,Panjin 124013,China)

机构地区：[1]北部战区总医院心内科心血管超声,辽宁沈阳110016 [2]北部战区总医院心内科,辽宁沈阳110016 [3]盘锦市中心医院心内科,辽宁盘锦124013

出　　处：《临床军医杂志》2023年第11期1138-1140,共3页Clinical Journal of Medical Officers

基　　金：辽宁省自然科学基金计划项目(20180550396)。

摘　　要：目的 探讨即时床旁超声心动图在急性胸痛患者病因鉴别诊断中的应用价值。方法 选取北部战区总医院自2022年11月至2023年2月收治的114例因急性胸痛就诊患者为研究对象。所有患者均在胸痛中心收治30 min内行床旁超声心动图检查。记录床旁超声心动图检查结果与床旁超声心动图检查误诊病例情况。记录并比较床旁超声心动图检查结果与临床确诊结果。结果 114例患者中,床旁超声心动图检测到阳性结果的患者107例,占比93.86%(107/114)。其中,急性心肌梗死90例,主动脉夹层11例,急性肺动脉栓塞6例。床旁超声心动图检查结果与临床确诊结果一致103例,诊断准确率为96.26%(103/107)。急性心肌梗死、主动脉夹层、急性肺动脉栓塞患者的床旁超声心动图诊断准确率比较,差异无统计学意义(P>0.05)。结论 即时床旁超声心动图能快速有效辅助临床明确诊断常见急性胸痛的病因,可对急性心肌梗死、主动脉夹层、急性肺动脉栓塞等常见急性胸痛疾病进行有效鉴别诊断。Objective To investigate the clinical application value of instant bedside echocardiography in etiology differential diagnosis of patients with acute chest pain.MethodsA total of 114 patients with acute chest pain admited to the General Hospital of Northern Theater Command from November 2022 to February 2023 were selected as the study subjects.All patients were admitted to the chest pain center and underwent bedside echocardiography within 30 minutes.The results of bedside echocardiography and misdiagnosed cases were recorded.Bedside echocardiography was recorded and compared with clinical diagnosis.Results Among 114 patients,bedside echocardiography detected positive results in 107 patients,accounting for 93.86%(107/114).Among them,90 cases had acute myocardial infarction,ll cases had aortic dissection,and 6 cases had acute pulmonary embolism.The results of bedside echocardiography were consistent with clinical diagnosis in 103 cases,the diagnostic accuracy was 96.26%(103/107).There was no significant difference in the diagnostic accuracy of bedside echocardiography in patients with acute myocardial infarction,aortic dissection and acute pulmonary embolism(P>0.05).Conclusion Instant bedside echocardiography can quickly and effectively assist clinical diagnosis of common acute chest pain causes,and can effectively differentiate the diagnosis of common acute chest pain diseases such as acute myocardial infarction,aortic dissection,acute pulmonary embolism,etc.

关 键 词：床旁超声心动图 急性胸痛 胸痛中心 病因 鉴别诊断 

分 类 号：R540.45[医药卫生—心血管疾病]