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右心室梗塞比较少见,单独发病机会更少,常并发于左室下(后)壁梗塞。患者生前很少确诊,常于尸解时发现。晚近由于对心电图、超声心动图的进一步研究,Swan—Ganz导管用于临床,核放射技术的进展,对本症的病理生理、临床表现特点有了进一步的认识,使右室梗塞的临床诊断成为可能。本症的治疗与一般心肌梗塞有别。笔者根据有限的资料整理成文,供参考。发生率及病理特点1948年Wartman等在连续2000例尸检中,发现心肌梗塞164例,其中右室梗塞22例为13.8%仅4例为单纯右室梗塞。以后其他一些作者经病理剖验其
Right ventricular infarction is relatively rare, less chance of onset alone, often complicated by left ventricular (posterior) wall infarction. Patients diagnosed rarely during their lifetime, often found in the autopsy. Recently, due to the further study of ECG and echocardiography, the Swan-Ganz catheter has been used in clinical and nuclear radiation therapy, and further understanding of the pathophysiology and clinical manifestations of the disease has made it possible to make a clinical diagnosis of right ventricular infarction . The treatment of this disease is generally different from myocardial infarction. Author based on the limited information collation, for reference. Incidence and Pathological Features In 1948, Wartman et al found 164 cases of myocardial infarction in 2000 consecutive autopsy cases, of which 22 cases were right ventricular infarction (13.8%) and only 4 cases were simple right ventricular infarction. After some other authors pathologically tested it