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1974年 Cohn 等报告6例右室梗塞为主伴低血压患者,其中4例经扩容治疗成功,2例死于休克,尸检发现有广泛的双心室损害。以后在临床、放射性核素和尸检研究中证实下壁心肌梗塞常有双室受累,少数下壁梗塞患者可发生低血压综合征。近来研究表明,右室梗塞为主患者,左室梗塞可能是引起低血压的一个重要因素。本文探讨两维超声(2DE)测定的右室/左室收缩不协调比值能否从穿壁性下壁心肌梗塞的低血压综合征中检出以右室病变为主的病例。方法:连续选择初发的单纯性急性穿壁性下壁
Cohn and other reports in 1974, 6 cases of right ventricular infarction associated with hypotension in patients, of which 4 cases after successful expansion, 2 died of shock, autopsy found a wide range of biventricular damage. Later in the clinical, radionuclide and autopsy studies confirmed that inferior wall myocardial infarction often double chamber involvement, a small number of patients with lower limb infarction may occur hypotension syndrome. Recent studies have shown that right ventricular infarction-based patients, left ventricular infarction may be an important cause of hypotension. This article discusses whether two-dimensional ultrasound (2DE) determination of right ventricular / left ventricular systolic incompatibility can be detected from the wall of the inferior wall myocardial infarction hypotension syndrome detected cases of right ventricular lesions. Methods: The simple acute penetrating wall was selected continuously