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目的:探讨床旁超声心动图对对急危重症心血管疾病的应用价值。方法:回顾性分析我院2006-01/2008-11行床旁超声心动图检查共60例患者的资料。结果:床旁超声心动图检查的阳性率为83.3%(50/60),其中冠心病16例,心外科手术后6例,心内科介入术后4例,先天性心脏病6例,瓣膜病6例,心肌疾病4例,高血压心脏病2例,外伤4例,其他2例。上述阳性病例中有20例伴有心包积液,其中术后及外伤病例均伴有不同程度心包积液,另6例中5例为急性心梗,1例为心肌炎。结论:床旁超声心动图可为急危重症心血管疾病迅速提供有价值的诊断信息,从而指导心血管急症的抢救。
Objective: To investigate the clinical value of bedside echocardiography in the treatment of acute and critical cardiovascular diseases. Methods: The data of 60 patients who underwent bedside echocardiography in our hospital from January 2006 to November 2008 were analyzed retrospectively. Results: The positive rate of bedside echocardiography was 83.3% (50/60). There were 16 cases of coronary heart disease, 6 cases of cardiac surgery, 4 cases of cardiology after interventional surgery, 6 cases of congenital heart disease, 6 cases, 4 cases of myocardial disease, heart disease in 2 cases, trauma in 4 cases, the other 2 cases. Among the above positive cases, 20 cases were associated with pericardial effusion, of which postoperative and traumatic cases were associated with varying degrees of pericardial effusion, 5 cases of acute myocardial infarction and 1 case of myocarditis in the other 6 cases. CONCLUSIONS: Bedside echocardiography can rapidly provide valuable diagnostic information for acute and critical cardiovascular diseases and thus guide the rescue of cardiovascular emergencies.