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急性心梗后心室附壁血栓有95%发生在左室心尖部,绝大多数都是前壁心梗。左室血栓发生率的病理资料大约为40%。用超声心动图检出的约为20%。作者用二维超声心动图检出左室血栓发生的时间是在病后第1～11天,平均是第5天,这与Bean的300例心梗尸解的病理资料极为相似。作者认为急性透壁心梗因有节段性室壁运动障碍和心内膜损伤,从而具备发生室壁血检的条件。在他检查的26例这类病人中有12例发生血栓,约占45%。而无心尖部室壁运动严
95% of acute myocardial infarction after ventricular wall thrombosis occurred in the apex of the left ventricle, the vast majority of anterior myocardial infarction. The incidence of left ventricular thrombosis pathological data is about 40%. Echocardiography detected about 20%. The authors used two-dimensional echocardiography to detect left ventricular thrombus occurrence time is 1 to 11 days after the disease, the average is the first 5 days, which is similar to the Bean’s pathological data of 300 cases of myocardial infarction solution. The authors believe that acute transmural myocardial infarction with segmental wall dyskinesia and endocardial injury, which have the conditions for the occurrence of ventricular blood tests. Thrombosis occurred in 12 of the 26 patients he examined, accounting for about 45%. Without apical wall motion strictly