心肌梗死后室壁瘤形成的诊断分析Clinical diagnosis and analysis of ventricle aneurysm post myocardial infarction
盛琴慧,高炜
摘要(Abstract)：
目的 观察心肌梗死（ＭＩ）后影响室壁瘤形成的因素以及临床常用方法的诊断价值。方法 经左心室造影证实的２３例ＭＩ后并发室壁瘤的患者，比较其心电图（ＥＣＧ）、超声心动图（ＥＣＨＯ）、冠状动脉病变程度和侧支循环建立情况。结果 所有患者均有前降支病变，三支病变者占６５．２％，仅１７．４％患者的侧支循环达到Ⅲ级。ＥＣＨＯ阳性者为１７．４％，而ＥＣＧ可达８２．６％。结论 多支病变且侧支循环不良的患者ＭＩ后易并发室壁瘤，ＥＣＧ较ＥＣＨＯ对室壁瘤的诊断更敏感。
关键词(KeyWords)： 室壁瘤;心肌梗塞
基金项目(Foundation):
作者(Author): 盛琴慧,高炜
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