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本文报告温州医学院附属一院心内科1985年至1987年5月收治确诊的5例和温州市二院心内科1986年至1987年5月收治确诊的2例急性右室梗塞(ARVI)患者的临床和心电图(ECG)特征,并讨论这些特征对ARVI诊断和治疗的意义。对象和方法一、病例选择:男性6例,女性1例,年龄60~68岁,平均年龄63.43岁,7例患者皆根据临床特征、ECG和血清酶学的典型演变确诊为急性心肌梗塞(AMI)。二、方法:6例下壁心肌梗塞患者除均于住院当时投照常规12导ECG外,并加照了V_3R~V_5R导联;1例正后壁心肌梗塞在发病后36小时投照V_3R~V_5R,6例在发病后5~24小时投照V_3R~V_5
This article reports the Affiliated Hospital of Wenzhou Medical College Department of Cardiology from 1985 to May 1987 admitted to diagnosis of 5 cases and Wenzhou Second Hospital Department of Cardiology from 1986 to 1987 May admitted to diagnosis of 2 cases of acute right ventricular infarction (ARVI) patients Clinical and electrocardiographic (ECG) characteristics and to discuss the significance of these characteristics for the diagnosis and treatment of ARVI. Subjects and methods A case selection: 6 males and 1 females, aged 60 to 68 years, mean age 63.43 years, 7 patients were based on clinical features, ECG and serum enzymes were diagnosed as typical evolution of acute myocardial infarction (AMI ). Second, the method: 6 cases of inferior wall myocardial infarction in addition to being hospitalized at the time of 12-lead conventional electrotherapy, and added the V_3R ~ V_5R lead; 1 case of posterior wall myocardial infarction 36 hours after the onset of injection V_3R ~ V_5R, 6 cases in the incidence of 5 ~ 24 hours after the vote V_3R ~ V_5