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目的 探讨急性右室心肌梗死的临床表现、心电图特征、心肌酶谱变化及治疗特殊性 ,以提高早期诊治水平。方法 回顾性分析 98例ARMI的临床表现及诊断经过。结果 单纯右室梗死发生率低 ( 6 1% ) ,多合并下壁、后壁梗死 ( 80 6% )。下壁AMI中EKGSTⅢ /Ⅱ >1有 89 9%合并右室梗死 ,血清肌酸激酶 (CK)峰值>2 0 0 0U/L有 4 4 9%合并ARMI。住院病死率较高 ,为 2 3 5 %。结论 ARMI多合并下壁AMI。下壁AMI中STⅢ /Ⅱ >1、CK超过正常值 10倍注意合并ARMI。ARMI的治疗关键为溶栓与扩容治疗
Objective To investigate the clinical manifestations, electrocardiogram features, changes of myocardial zymogram and the special treatment of acute right ventricular myocardial infarction in order to improve the early diagnosis and treatment. Methods The clinical manifestations and diagnosis of 98 cases of ARMI were retrospectively analyzed. Results The incidence of simple right ventricular infarction was low (61%), and more complicated inferior and posterior wall infarction (80.6%). In inferior wall AMI, 89.9% of EKGSTⅢ / Ⅱ> 1 had right ventricular infarction with a peak of serum creatine kinase (CK)> 20 000U / L with 449% of ARMI. In-hospital mortality was high at 23.5%. Conclusions ARMI combined with inferior wall AMI. Lower AMI in ST Ⅲ / Ⅱ> 1, CK than normal 10 times the attention of the merger ARMI. ARMI treatment of key thrombolytic and dilation treatment