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目的:探讨急诊床旁超声心动图(EB-Echo)检查在急重症心血管病疾病的临床应用价值。方法:回顾性分析本院2014年9月至2015年11月期间在急救中心行EB-Echo检查的213例患者急诊床旁超声心动图检查资料。结果:EB-Echo共检查患者213例,检出异常155例,诊断阳性率为72.77%,其中心功能不全(CHF)78例(50.32%),心肌梗死(AMI)43例(27.74%),主动脉夹层8例(5.16%),风湿性心脏病3例(1.94%),二尖瓣脱垂3例(1.94%),心包积液8例(5.16%),房间隔缺损7例(4.52%),肥厚性心肌病(HCM)5例(3.23%)。结论:急诊床旁超声心动图在急重症心血管疾病的早期诊断中有重要价值。
Objective: To investigate the clinical value of emergency bedside echocardiography (EB-Echo) in the diagnosis of severe cardiovascular diseases. Methods: A retrospective analysis of emergency bedside echocardiographic data was performed in 213 patients who underwent EB-Echo at the First Aid Center from September 2014 to November 2015 in our hospital. Results: 213 cases were detected by EB-Echo, 155 cases were detected abnormality, the positive rate was 72.77%, 78 cases (50.32%) were cardiac dysfunction (CHF), 43 cases (27.74%) were myocardial infarction Aortic dissection in 8 cases (5.16%), rheumatic heart disease in 3 cases (1.94%), mitral valve prolapse in 3 cases (1.94%), pericardial effusion in 8 cases (5.16%), atrial septal defect in 7 cases (4.52 %), Hypertrophic cardiomyopathy (HCM) in 5 cases (3.23%). Conclusion: Emergency bedside echocardiography is of great value in the early diagnosis of severe cardiovascular disease.