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急性右心室心肌梗塞(简称右室梗塞)实际发病率并不低,在左心室下壁梗塞的基础上发生者据文献介绍可达12～43%。现结合我们收治的7例病人的诊疗经过,对右室梗塞的临床特点略加探讨。临床资料7例右室梗塞病人中,男3例,女4例;年龄45～80岁,平均60岁。发病时心前区明显疼痛者6例,另1例以胸闷起病。3例入院当时冷汗、末梢凉、血压下降,4例低血压(收缩压均≤100mmHg)。有右心衰竭表现者3例,肺部听诊5例无罗音。心脏听诊1例在心前区可闻及 S_3及 S_4奔马律。心电图除合并急性穿壁梗塞改变外,在入院后2小时～14天内又加做 V_3R～V_5R 或 CR_4R,
The actual incidence of acute right ventricular myocardial infarction (referred to as right ventricular infarction) is not low, based on the literature of the incidence of left ventricular inferior wall infarction up to 12 ~ 43%. Now with our treatment of seven patients admitted after the clinical features of right ventricular infarction a little discussion. Clinical data of 7 cases of right ventricular infarction patients, 3 males and 4 females; aged 45 to 80 years, mean 60 years. When the onset of precordial obvious pain in 6 cases, another case of chest tightness onset. 3 patients were cold sweat admission, cool distal, blood pressure, 4 cases of hypotension (systolic blood pressure ≤ 100mmHg). There are 3 cases of right heart failure performance, pulmonary auscultation in 5 cases without rales. Cardiac auscultation in 1 case can be heard in front of S_3 and S_4 gallop. ECG combined with acute wall infarction change, in 2 to 14 days after admission plus V_3R ~ V_5R or CR_4R,