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目的:探讨超声心动图检查对心肌梗死合并室间隔穿孔明确诊断中的价值。方法:对此例心肌梗死合并室间隔穿孔患者进行临床分析。结果:经行冠脉搭桥术(静脉桥),室间隔穿孔修补术,室壁瘤切除,三尖瓣环成形术;术后20天复查超声心动图,室壁瘤消失,室间隔连续完整,中间部见补片强回声,室水平未见分流,左室收缩功能正常(EF值68%),患者治愈出院。结论:超声心动图检查可为心肌梗死合并室间隔穿孔提供部位、大小、诊断依据。
Objective: To investigate the value of echocardiography in the definitive diagnosis of myocardial infarction with ventricular septal perforation. Methods: This case of myocardial infarction with ventricular septal perforation in patients with clinical analysis. Results: Coronary artery bypass grafting (venous bridge), interventricular septal perforation repair, ruptured aneurysm and tricuspid annuloplasty were performed; echocardiography was performed 20 days after surgery, disappearance of ventricular aneurysm, continuity of ventricular septum, See the patch in the middle part of the strong echo, no shunt room level, left ventricular systolic function (EF value 68%), the patient was cured. Conclusion: Echocardiography can provide site, size and diagnostic basis for myocardial infarction with ventricular septal perforation.