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1930年 Sanders 描述了第一例右心室梗塞(简称 RVI)合并休克病人的独特临床表现以来,经大量尸解、动物实验和临床研究,尤其是70年代以来血液动力学监测的开展,容量负荷疗法广泛应用于 RVI 的处理,对RVI 的了解大有进步。近十年来,放射性核素检查和超声心动图的进展以及心电图新导联的应用,大大提高了无创性检查对 RVI 的检出率。RVI 在诊断和治疗上有别于左室梗塞,是一个较为棘手的临床问题,故综述如下。尸解所见的右室梗塞一、发病率,各家报道很不一致,3%—43%不等。死于急性心肌梗塞的发病率高于30%,为其它死因的2—3倍。值得注意的是Harnarayan 等报道20名死于心源性休克的
In 1930, Sanders described the first clinical manifestations of right ventricular infarction (RVI) combined with shock patients, after a large number of autopsy, animal experiments and clinical studies, especially since the seventies haemodynamic monitoring, volume load therapy Widely used in the processing of RVI, the understanding of RVI has greatly improved. In the past ten years, the progress of radionuclide examination and echocardiography and the application of ECG new lead greatly enhanced the detection rate of RVI by noninvasive examination. RVI in the diagnosis and treatment is different from left ventricular infarction, is a more difficult clinical problems, it is summarized as follows. An autopsy seen right ventricular infarction, the incidence rate, various reports are very inconsistent, 3% -43% range. The incidence of death from acute myocardial infarction is higher than 30%, which is 2-3 times higher than other causes of death. It is noteworthy that Harnarayan et al reported 20 patients died of cardiogenic shock