CAJ | 학술논문

目的评价超声心动图对于心肌梗死后室间隔穿孔的诊断价值,并对比室间隔穿孔外科修补组与非外科修补组30 d生存率.方法 2000年～2009年本心脏中心的心肌梗死后室间隔穿孔住院患者49例,年龄45～78岁,平均66岁,男27 例,女 22例.急诊室间隔修补手术32例,将术前急诊超声心动图结果与术中结果进行对比.并对比室间隔外科修补组与非外科修补组患者30 d生存率.结果 32例室间隔外科修补患者,超声诊断室间隔穿孔的准确率100%,穿孔部位的判定率96%,对于合并室壁瘤的准确率93%.室间隔外科修补组患者30 d生存率71.9%(23/32),未行室间隔修补30 d生存率41.2%(7/17).结论超声心动图对室间隔穿孔具有重要诊断价值,紧急外科修补手术,可明显提高30 d生存率.
목적 평개초성심동도대우심기경사후실간격천공적진단개치,병대비실간격천공외과수보조여비외과수보조30 d생존솔.방법 2000년～2009년본심장중심적심기경사후실간격천공주원환자49례,년령45～78세,평균66세,남27 례,녀 22례.급진실간격수보수술32례,장술전급진초성심동도결과여술중결과진행대비.병대비실간격외과수보조여비외과수보조환자30 d생존솔.결과 32례실간격외과수보환자,초성진단실간격천공적준학솔100%,천공부위적판정솔96%,대우합병실벽류적준학솔93%.실간격외과수보조환자30 d생존솔71.9%(23/32),미행실간격수보30 d생존솔41.2%(7/17).결론초성심동도대실간격천공구유중요진단개치,긴급외과수보수술,가명현제고30 d생존솔.
Objective To investigate the role of echocardiography in the diagnosis of interventricular septum perforation in myocardial infarction and compare 30-day survival rate between surgical group and non-surgical group.Methods Forty-nine cases of interventricular septum perforation associated with myocardial infarction were diagnosed in our cardiovascular center between 2000-2009.27 males and 22 females with average 66ys 45-78ys).32 cases underwent successful ventricular septal defect closure nd/or coronary artery bypass.We compared the echocardiographic diagnosis to the surgical view and compared the 30-day survival rate between surgical and non-surgical group.Results In 32 surgical cases,echocardiography evaluated accuracy rate for interventricular septum perforation was 100%,perforation site 96%,and ventricular aneurysm 93%.30-day survival rate of surgical group was 71.9%(23/32) while non-surgical group was 41.2%(7/17).Conclusions Echocardiography plays an important role in the diagnosis of interventricular septum perforation in myocardial infarction which needs emergency surgical septal defect closure and can increase 30-day survival rate significantly.