论文部分内容阅读
心房梗塞少有报告,其原因是:1.本病无特异临床表现,常伴发于心室梗塞;2.心房梗塞的心电图改变短暂、轻微且较难评价;3.心房梗塞的发病率不高,为心室梗塞的1/10,单独发生则更少。Wartman与Hellerstein报告235例心肌梗塞中遇到17例心房梗塞,其中仅4例为单独发生。现将本院所见3例心房梗塞报告如下: 例1 男,60岁。三月前患急性下壁心肌梗塞住外院治疗56天出院,半个月后阵发性心前区疼痛不适加重,出现心悸、气促,不能平卧伴下肢浮肿于1983年2月17日入我院。既往有高血压及慢性咳嗽史。查体:血压120/70;半卧位,唇绀,气促,颈静
Few reports of atrial infarction, the reasons are: 1. The disease has no specific clinical manifestations, often associated with ventricular infarction; 2. Atrial infarction ECG changes transient, minor and more difficult to assess; 3. The incidence of atrial infarction is not high , Which is 1/10 of the ventricular infarction and less on its own. Wartman and Hellerstein reported 17 cases of atrial infarction in 235 cases of myocardial infarction, of which only 4 occurred singly. The hospital now see 3 cases of atrial infarction reported as follows: Example 1 male, 60 years old. March before suffering from acute inferior myocardial infarction outside hospital treatment of 56 days discharged, half a month after paroxysmal supination pain discomfort aggravated, palpitation, shortness of breath, can not supine with lower limb edema in February 17, 1983 into Our hospital. Past history of hypertension and chronic cough. Examination: blood pressure 120/70; semi-supine, cyanosis, shortness of breath, jingjing