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连续66例急性心肌梗塞患者入院后第1天、3天和7天先后接受两维超声心动图检查,分析心包积液的检出率及其临床意义.17例患者检出心包积液(组Ⅰ):少量积液13例,中量积液3例,大量积液伴心包填塞征1例.后一例的超声心动图高度提示心脏破裂(左室后外侧壁基底段).另49例未检出心包积液(组Ⅱ).组Ⅰ和组Ⅱ的年龄(59±10对58±9岁)、性别(男11、女6对男40、女9例)、既往心肌梗塞史(5/17对10/49)、心房颤动(2/17对9/49)和肝素治疗(10/17对31/49)均无显著差别.前壁心肌梗塞心包积液最常见(10/29),下壁心肌梗塞心包积液较
Sixty-six patients with acute myocardial infarction received two-dimensional echocardiography on the first day, three days and seven days after admission, and the detection rate of pericardial effusion and its clinical significance were analyzed.17 cases of pericardial effusion Ⅰ): a small amount of effusion in 13 cases, 3 cases of volume effusion, a large number of effusion with cardiac stuffing sign in 1. The latter case of echocardiography highly suggestive of heart rupture (left ventricular posterior lateral basal segment). The other 49 cases Pericardial effusion was detected in group I and group II (59 ± 10 vs. 58 ± 9 years), gender (male 11, female 6 vs male 40, female 9), previous history of myocardial infarction / 17 vs 10/49), atrial fibrillation (2/17 vs 9/49), and heparin (10/17 vs 31/49) .Anterior myocardial infarction pericardial effusion was the most common (10/29) , Inferior wall myocardial infarction pericardial effusion more