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本文急性右室梗塞(ARVI)18例,其中ARVI+下壁AMI12例,ARVI+后壁AMI6例。18例中无临床症状4例,右心功能不全14例,其中合并左心功能不全4例,并发低血压和休克13例;三尖瓣区收缩期杂音6例;14例右心功能不全除合并左心功能不全4例外,其余10例均无呼吸困难和肺部罗音。18例V_(3R),V_(4R)导联ST段抬高均≥0.5mm,且ST段抬高程度均为V_(4R)>V_(3R)>V_1。V_(3R)、V_(4R)导联QRS波呈QS型9例、呈Qr型6例、呈rS型3例。治愈率83.33％,病死率16.67％。对ARVI诊断与治疗进行了探讨。
In this paper, 18 cases of acute right ventricular infarction (ARVI), ARVI + inferior wall AMI in 12 cases, ARVI + posterior wall AMI in 6 cases. Among the 18 cases, there were 4 cases with no clinical symptoms, 14 cases with right ventricular dysfunction, including 4 cases with left ventricular dysfunction, 13 cases with hypotension and shock, 6 cases with tricuspid systolic murmur, 14 cases with right ventricular dysfunction 4 cases with left heart failure, the remaining 10 cases were no breathing difficulties and pulmonary rales. Eighteen cases of V 3R and V 4R lead ST segment elevation≥0.5mm, and ST segment elevation were all V_ (4R)> V_ (3R)> V_1. QRS wave of V_ (3R) and V_ (4R) lead were QS type in 9 cases, Qr type in 6 cases, rS type in 3 cases. The cure rate was 83.33% and the case fatality rate was 16.67%. ARVI diagnosis and treatment were discussed.