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本文对临床确诊为冠心病的61例患者,应用超声探测室壁运动,以探讨室壁运动异常(RWMA)在冠心病中的诊断价值。心绞痛组:25例左室壁总节段数为225个,220个节段运动正常,5个节段运动减弱,分别发生在3个病例,他们临床上无MI证据。可见,单纯心绞痛较少见到RWMA。MI组11例AMI中10例发现梗塞区运动异常,检出率91％,25例OMI发现23例梗塞区RWMA,检出率92％,其中2例并发室壁瘤,RWMA部位与心电图梗塞定位完全一致,符合率达100％。本组左室前壁、下壁、前间壁、梗塞室壁
In this paper, clinical diagnosis of coronary heart disease in 61 patients, the application of ultrasound detection of wall motion, in order to explore the wall motion abnormalities (RWMA) in the diagnosis of coronary heart disease. Angina group: 25 cases of the total number of left ventricular segment of 225, 220 segments of normal exercise, 5 segments decreased motor activity, respectively, in 3 cases, they are clinically no MI evidence. Can be seen, less angina see RWMA. Among 11 MI patients, MI was found in 10 cases of AMI. The detection rate was 91%. In 25 OMI patients, RWMA was found in 23 cases with infarction area. The detection rate was 92%. Two of them were complicated with aneurysm, RWMA and ECG infarction Exactly the same, in line with the rate of 100%. This group left anterior wall, inferior wall, anterior wall, infarction wall