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近十年来临床工作中我们发现右心室心肌梗塞(RVI)4例,及时给予了补充血容量并适时地扩血管治疗,均治愈。我们遇到的4例病人均男性,年龄44岁～61岁。临床表现:两例49岁以下病人发病后均有典型的压榨性胸骨后痛,伴面色苍白、大汗.2例老年和老年前病人只有胸闷、恶心、呕吐症状。入院时体格检查:3例病人血压低于9.3/6.6kPa,(70/50mmHg),S1低钝,可闻及 S4。两例可闻及早搏,1例心房颤动。心电图表现:全部病例除常规12导联外加描 V7～V9,V3R～V6R 共19个导联.4例均为入院时 ST Ⅱ、Ⅲ、CWF 弓背向上抬高 0.2～0.3mv,ST_(v7～v9)抬高0.05～
In the past ten years, we found 4 cases of right ventricular myocardial infarction (RVI) in clinical work and gave timely hemodialysis and timely vasodilatation. All were cured. We encountered four patients were male, aged 44 to 61 years old. Clinical manifestations: Two cases of patients under 49 years of age after onset are typical of the chest pain, with pale complexion, sweating .2 cases of elderly and elderly patients only chest tightness, nausea, vomiting. Physical examination on admission: 3 patients with blood pressure below 9.3 / 6.6kPa, (70 / 50mmHg), S1 low blunt, can be heard and S4. Two cases can be heard and premature beat, 1 case of atrial fibrillation. Electrocardiogram showed that in all cases, 19 leads of V7 ~ V9 and V3R ~ V6R were taken in all cases except conventional 12-lead, all of which were elevated in 0.2 ~ 0.3mv and ST_ (v7) ~ V9) elevated 0.05 ~