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急性左心室心肌梗塞,已为广大临床工作者高度警惕,大多能及时发现。但急性右心室梗塞及心房梗塞则由于常规12导联心电图不易发现,故常遗漏。然据文献报告心房梗塞及右心室梗塞并非罕见,前者占心肌梗塞1～17％,后者占心肌梗塞6.1～43％。我院在1980年以前仅发现4例右心室梗塞,1980年以来由于临床医生的重视,诊断率明显提高。6年来共收治急性心肌梗塞57例,其中右心室梗塞18例占31.6％,现报道如下: 一般资料 57例急性心肌梗塞患者,男性48例,女性9例,年龄45～81岁(平均58.5岁),18例右心室梗塞中男性16例,女性2例,年龄48～81岁(平均60.8岁)。在57例急性心肌梗塞中,左、右心室联合梗塞3例占5.3％,左、右心室、心房联合梗塞15例占26.3％,
Acute left ventricular myocardial infarction has been highly vigilant for the majority of clinical workers, most of them can be found in time. However, acute right ventricular infarction and atrial infarction is due to conventional 12-lead ECG is not easy to find, so often missed. According to the literature reported atrial infarction and right ventricular infarction is not uncommon, the former accounted for 1 to 17% of myocardial infarction, which accounted for 6.1 to 43% of myocardial infarction. Only four cases of right ventricular infarction were found in our hospital before 1980, and the diagnosis rate has been obviously improved since 1980 due to the clinicians’ attention. A total of 57 cases of acute myocardial infarction in 6 years, of which 18 cases of right ventricular infarction accounted for 31.6%, are reported as follows: General information 57 cases of acute myocardial infarction patients, 48 males and 9 females, aged 45 to 81 years (mean 58.5 years ), 18 cases of right ventricular infarction in 16 males and 2 females, aged 48 to 81 years (mean 60.8 years). In 57 cases of acute myocardial infarction, left and right ventricular combined infarction in 3 cases accounted for 5.3%, left and right ventricular, atrial combined infarction in 15 cases accounted for 26.3%