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目的探讨急诊床旁超声心动图在心脏相关急症诊疗中的应用价值。方法对2008年12月至2011年2月590例急诊床旁超声心动图检查资料进行回顾性分析。结果 590例患者诊断阳性率为86.6%。冠心病379例(64.2%),包括心肌梗死286例(48.4%),合并室壁瘤21例及机械并发症12例;高血压性心脏病111例(18.8%);瓣膜病30例(5.1%);心包积液37例(6.3%);肺栓塞18例(3.1%);心功能不全203例(32.4%)。结论急诊床旁超声心动图对心脏相关急症的诊治具有重要的临床应用价值。
Objective To investigate the clinical value of emergency bedside echocardiography in the diagnosis and treatment of heart-related emergencies. Methods The data of 590 cases of emergency bedside echocardiography from December 2008 to February 2011 were retrospectively analyzed. Results The positive rate of diagnosis of 590 patients was 86.6%. There were 379 cases (64.2%) of coronary heart disease, including 286 cases (48.4%) of myocardial infarction, 21 cases of combined aneurysm and 12 cases of mechanical complications, 111 cases of hypertensive heart disease (18.8%), 30 cases of valvular disease %), Pericardial effusion in 37 cases (6.3%), pulmonary embolism in 18 cases (3.1%) and heart failure in 203 cases (32.4%). Conclusions Emergency bedside echocardiography has important clinical value in the diagnosis and treatment of heart-related emergencies.