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过去对右室心肌梗塞(RVD普遍认识不够,临床漏诊、误诊较多,有相当部分病人生前得不到确诊,往往在尸检时才发现。虽然近些年来随着一些新的检查方法和技术的开展,对RVI的临床特异表现有了一定的认识,诊断率也有了提高,但对于条件较差的基层医院,其漏诊、误诊的现象仍很严重。因此,本文旨在通过本病的复习进一步加强基层医务工作者对RVI的认识,以提高临床医生的诊断能力。一、发病率 RVI并非少见。戎卫海等报道40例心肌梗塞的尸检中发现累及右室者4例(10％);Wartman等通过尸检,发现164例心肌梗塞病人中22例有RVI(13.8％),其中4例为单纯RVI(2.4％);Isner等报道236例心肌梗塞尸检中33例有RVI
In the past, RVD was not generally recognized enough, clinical misdiagnosis, misdiagnosis, a considerable number of patients not diagnosed before their death, often found at the time of autopsy .Although in recent years with some new methods and techniques of examination To carry out a certain understanding of the clinical manifestations of RVI, the diagnostic rate has also been improved, but poor conditions for primary hospitals, the diagnosis of misdiagnosis is still very serious.Therefore, this article aims to review the disease further First, the incidence of RVI is not uncommon.Rong Weihai et al reported 40 cases of myocardial infarction autopsy found in 4 cases (10%) involving the right ventricle; Wartman et al Autopsy, found 164 cases of myocardial infarction in 22 patients with RVI (13.8%), of which 4 cases were simple RVI (2.4%); Isner reported 236 cases of myocardial infarction autopsy in 33 cases with RVI