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过去一直认为右室心肌梗塞甚为少见。单纯右室梗塞确系少见(<3%),但左右心室合并梗塞并非如此。由于本症的常规心电图诊断很困难,以往只能在尸检时确诊。对本症的病理生理、临床表现认识很不够,认为本症不会明显影响心功能。Cohn 等首次通过血液动力学检查,对6例右室梗塞作出临床诊断,后来又有人利用心肌闪烁扫描图、超声心动图等非侵入性方法来进行检查,使本症的诊断率提高,对本症的病理生理、临床表现的特异改变有了进一步认识。发病率单纯右室梗塞少见,绝大多数合并有左
In the past has been that right ventricular myocardial infarction is very rare. Right ventricular infarction is indeed rare (<3%), but left and right ventricular infarction is not. Because of this disease is difficult to diagnose conventional ECG, in the past can only be confirmed at the time of autopsy. The pathophysiology of the disease, clinical manifestations of awareness is not enough, that this disease will not significantly affect cardiac function. Cohn and other first through the hemodynamic examination, 6 cases of right ventricular infarction to make a clinical diagnosis, and later someone using myocardial scintigraphy, echocardiography and other non-invasive methods to check the diagnosis of this disease increased, the disease The pathophysiology, clinical manifestations of specific changes have been further understanding. The incidence of right ventricular infarction rare, the vast majority of mergers with left