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急性右室梗塞(RVI)常并发于急性下壁梗塞(AIMI)。本文报告28例 AIMI 中3例合并 RVI。这3例均存在心源性休克,心电图表现为 V_3R～V_5R 导联 ST 段升高1～3mm,1例进行血液动力学检查,右房平均压比肺动脉舒张压相对上升显著。治疗上主张积极扩容,应用血管扩张剂和正性肌力药物,严重缓慢性心律失常患者应进行临时心脏起搏。在本报告中这些方法产生有效的作用。
Acute right ventricular infarction (RVI) is often complicated by acute inferior wall infarction (AIMI). This article reports 28 cases of AIMI in 3 cases with RVI. All 3 patients had cardiogenic shock. The electrocardiogram showed that ST segment of V_3R ~ V_5R lead was increased by 1 ~ 3mm, hemodynamic test was performed in 1 case, and the right atrium mean pressure was significantly higher than that of pulmonary artery. Treatment advocated a positive expansion, the application of vasodilators and inotropic drugs, patients with severe bradyarrhythmia should be temporary cardiac pacing. These methods have an effective role in this report.