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心肌梗塞(MI)通常被认为是左室的缺血性损伤。单独右室梗塞(RVI)极罕见(不足3%),多与左室梗塞合并发生,由于左室梗塞症状严重病情危笃,故易忽视同时合并存在的 RVI。又因 RVI 心电图无特异性改变,乃致生前诊断极为困难造成误诊误治。自1967年 Fluck 等、1970年Lasser 等发现右房压升高而无肺动脉压升高的左室下壁梗塞提示 RVI 以来,又由于 Swan-Ganz 导管及超声心动应等各种新检查方法的应用,使 RVI 生前诊断成为可能,使治疗更趋于正确。
Myocardial infarction (MI) is commonly thought of as ischemic injury in the left ventricle. Individual RVI is extremely rare (less than 3%), and more with left ventricular infarction occurred, due to serious symptoms of left ventricular infarction, it is easy to ignore the simultaneous merger of RVI. Due to the non-specific changes of RVI ECG, it is extremely difficult to diagnose misdiagnosis and misdiagnosis as prenatal diagnosis. Fluck, etc., in 1967, Lasser 1970 found that elevated right atrial pressure without pulmonary hypertension elevated left ventricular inferior wall infarction prompted RVI, and because of Swan-Ganz catheter and echocardiography and other new detection methods , Making prenatal diagnosis of RVI possible, so that treatment tends to be correct.