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目的:分析104例急性下壁心梗的临床表现。方法:收集104例首次急性下壁心肌梗死患者的临床表现、辅助检查的情况并进行分析。结果:高血压、糖尿病、吸烟分别占56例、19例、67例;胸痛、心律失常分别占89例、40例;冠脉造影右冠状动脉及其分支完全闭塞占77%;左旋支及其分支完全闭塞占19.2%。结论:急性下壁心肌梗死以胸痛、心律失常为主要表现;冠脉造影以右冠状动脉及其分支完全闭塞为主;吸烟、高血压和糖尿病是主要危险因素。
Objective: To analyze the clinical manifestations of 104 cases of acute inferior myocardial infarction. Methods: The clinical manifestations of 104 patients with acute inferior myocardial infarction were collected and analyzed. Results: Hypertension, diabetes mellitus and smoking accounted for 56 cases, 19 cases and 67 cases respectively. Chest pain and arrhythmia accounted for 89 cases and 40 cases respectively. Coronary angiography of the right coronary artery and its branches completely occluded accounted for 77% Complete occlusion of the branches accounted for 19.2%. Conclusion: Acute inferior myocardial infarction is characterized by chest pain and arrhythmia. Coronary angiography is mainly occlusion of the right coronary artery and its branches. Smoking, hypertension and diabetes are the major risk factors.