现代诊断与治疗
現代診斷與治療
현대진단여치료
MODERN DIAGNOSIS AND TREATMENT
2013年
8期
1686-1687
,共2页
急性下壁心肌梗死%右室心肌梗死%危险因素%综合治疗
急性下壁心肌梗死%右室心肌梗死%危險因素%綜閤治療
급성하벽심기경사%우실심기경사%위험인소%종합치료
Acuteness inferior myocardial infarction%Right ventricular infarction%Risk factor%Combined therapy
目的探讨急性下壁心肌梗死（合并或不合并右室心肌梗死）患者的危险因素、临床特征、治疗措施，以提高对急性下壁心肌梗死的治疗水平。方法选择2008～2012年我院急诊科收治的急性下壁心肌梗死患者59例。将所有符合急性下壁心肌梗死且资料完整的病例分为单纯下壁心肌梗死组和下壁合并右室心肌梗死组，比较两组患者的危险因素、临床特征、治疗效果的差异。结果两组间合并有高血压、糖尿病、吸烟、高脂血症等指标比较差异均无显著性（P＞0．05）。单纯下壁心肌梗死与下壁心肌梗死合并右室心肌梗死患者收缩压、舒张压、第一个24h补液量等指标比较差异均有显著性（P≤0．05），两组患者死亡率有显著差异（4．44％ vs 28．57％）。结论单纯下壁心梗与下壁合并右室心梗组出现低血压休克分别为6．67％与28．57％，快速大量液体输入扩容是抢救下壁合并右心室心肌梗死患者成功的关键，急性下壁合并右室心肌梗死患者中早期再灌注治疗，快速有效的开通罪犯血管可明显改善患者右心功能。
目的探討急性下壁心肌梗死（閤併或不閤併右室心肌梗死）患者的危險因素、臨床特徵、治療措施，以提高對急性下壁心肌梗死的治療水平。方法選擇2008～2012年我院急診科收治的急性下壁心肌梗死患者59例。將所有符閤急性下壁心肌梗死且資料完整的病例分為單純下壁心肌梗死組和下壁閤併右室心肌梗死組，比較兩組患者的危險因素、臨床特徵、治療效果的差異。結果兩組間閤併有高血壓、糖尿病、吸煙、高脂血癥等指標比較差異均無顯著性（P＞0．05）。單純下壁心肌梗死與下壁心肌梗死閤併右室心肌梗死患者收縮壓、舒張壓、第一箇24h補液量等指標比較差異均有顯著性（P≤0．05），兩組患者死亡率有顯著差異（4．44％ vs 28．57％）。結論單純下壁心梗與下壁閤併右室心梗組齣現低血壓休剋分彆為6．67％與28．57％，快速大量液體輸入擴容是搶救下壁閤併右心室心肌梗死患者成功的關鍵，急性下壁閤併右室心肌梗死患者中早期再灌註治療，快速有效的開通罪犯血管可明顯改善患者右心功能。
목적탐토급성하벽심기경사（합병혹불합병우실심기경사）환자적위험인소、림상특정、치료조시，이제고대급성하벽심기경사적치료수평。방법선택2008～2012년아원급진과수치적급성하벽심기경사환자59례。장소유부합급성하벽심기경사차자료완정적병례분위단순하벽심기경사조화하벽합병우실심기경사조，비교량조환자적위험인소、림상특정、치료효과적차이。결과량조간합병유고혈압、당뇨병、흡연、고지혈증등지표비교차이균무현저성（P＞0．05）。단순하벽심기경사여하벽심기경사합병우실심기경사환자수축압、서장압、제일개24h보액량등지표비교차이균유현저성（P≤0．05），량조환자사망솔유현저차이（4．44％ vs 28．57％）。결론단순하벽심경여하벽합병우실심경조출현저혈압휴극분별위6．67％여28．57％，쾌속대량액체수입확용시창구하벽합병우심실심기경사환자성공적관건，급성하벽합병우실심기경사환자중조기재관주치료，쾌속유효적개통죄범혈관가명현개선환자우심공능。
Objective By evaluating the risk factor , clinical feature and therapeutic results of patients who suffer acute inferior wall myocardial infarction with right ventricular myocardial infarction with retrospective study .Methods The patients who were diagnosed of acute inferior wall myocardial infarction in The People ’ s Hospital of Wei Fang (2008 to 2012) were enrolled and chosen .All cases were divided into two groups:in-ferior wall myocardial infarction group and inferior wall myocardial infarction with right ventricular myocardial infarction group .Risk factors , clinical features and therapeutic efficacy were compared between the two groups .Results There was no difference between two groups in the following risk factors such as hyperten -sion, diabetes, smoking, hyperlipidemia(P>0.05).Systolic blood pressure (SBP),diastolic blood pressure (DBP) and the amount infused for the first 24h were significantly different (P≤0.05).Conclusion The in-cidence of hypotensive shock in the two groups was markedly (6.67%and 28.57%).Expansion treatment is the key of successful rescue .Early reperfusion treatment could improve right ventricular function .
