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本文评价96例急性心肌梗塞病人中右室梗塞的临床特征、发生率以及病程经过。观察期为10个月。96例中前壁梗寒盯例,下壁梗塞44例,侧璧梗塞4例,后壁梗塞1例。有16例(16%)新近出现右室功能障碍,考虑为右室梗塞所致,均为穿透性下壁心肌梗塞。下壁梗塞患者的1/3(36%)可出现右室功能障碍的临床症状。右室梗塞者的平均年龄为55岁,其中2例先前曾有心肌梗塞。9例为单独下壁心肌梗塞,4例为下侧壁梗塞,3例为下后壁梗塞。4例有显著的中心静脉压升高(大于10cmH_2O)。右心梗
This article evaluates the clinical features, incidence and duration of right ventricular infarction in 96 patients with acute myocardial infarction. Observation period of 10 months. In 96 cases, the obstruction of the anterior wall was stared, 44 cases of inferior wall infarction, 4 cases of lateral wall infarction and 1 case of posterior wall infarction. 16 cases (16%) of the recent emergence of right ventricular dysfunction, considered due to right ventricular infarction, are penetrating inferior wall myocardial infarction. One-third (36%) of patients with infarction of the inferior wall may develop clinical symptoms of RV dysfunction. The mean age at right ventricular infarction was 55 years, and 2 of the patients had previous myocardial infarction. Nine patients had inferior inferior myocardial infarction, four had inferior lateral wall infarction and three had inferior posterior wall infarction. 4 cases had a significant increase in central venous pressure (greater than 10cmH2O). Right heart infarction