论文部分内容阅读
目的:分析急性右心室梗死的早期临床表现、冠状动脉造影、中心静脉压以及治疗方法。方法:17例右心室梗死患者中,11例并有右心功能不全及低血压休克。根据临床表现、心电图的动态演变、心肌酶学的变化、冠状动脉造影及中心静脉压,早期诊断右心室梗死。并发右心功能不全、低血压及休克者,严密观察生命体征、心功能变化情况以及中心静脉压,适时、适度给予扩容治疗。结果:17例经扩容等治疗后16例治愈,1例死亡,其中15例行冠状动脉介入治疗术。结论:早期识别、早期诊断右心室梗死,早期开通闭塞血管,严密监测生命体征、心功能变化以及血流动力学改变,适时、适度扩容治疗,是治疗右心室梗死成功的关键。
Objective: To analyze the early clinical manifestations, coronary angiography, central venous pressure and treatment of acute right ventricular infarction. Methods: Of the 17 patients with right ventricular infarction, 11 had right ventricular dysfunction and hypotension. According to clinical manifestations, the dynamic evolution of ECG, changes in myocardial enzymes, coronary angiography and central venous pressure, early diagnosis of right ventricular infarction. Concurrent right ventricular dysfunction, hypotension and shock, close observation of vital signs, changes in cardiac function and central venous pressure, timely and appropriate dilation treatment. Results: In the 17 cases, 16 cases were cured and 1 case died after the expansion. Among them, 15 cases underwent coronary intervention. Conclusion: Early identification, right ventricular infarction early diagnosis, early occlusion of blood vessels, close monitoring of vital signs, changes in cardiac function and hemodynamic changes, timely and appropriate dilation of the treatment is the key to the success of treatment of right ventricular infarction.