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右室梗塞是较少见的疾病。几乎完全是尸检诊断,单纯根据临床表现,难于诊断本病。近年来,开展床边漂浮导管(Swan-Ganz 型)检查,掌握心肌梗塞急性期血液动力学情况,以及超声心动图、闪烁扫描等检查,已能在临床上诊断右室梗塞。作者根据14例右室梗塞的尸检资料,结合文献复习,探讨其临床特征。该作者在10年中,尸检确诊心肌梗塞228例,其中右室梗塞14例,占6.1%,文献报告约22～34%。
Right ventricular infarction is a less common disease. Almost completely autopsy diagnosis, based solely on clinical manifestations, difficult to diagnose the disease. In recent years, the bedside floating catheter (Swan-Ganz type) examination, to grasp the acute phase of myocardial infarction hemodynamics, and echocardiography, scintigraphy and other tests, has been able to clinically diagnose right ventricular infarction. The authors based on autopsy data of 14 cases of right ventricular infarction, combined with literature review, to explore the clinical features. In 10 years, the author autopsy confirmed 228 cases of myocardial infarction, including 14 cases of right ventricular infarction, accounting for 6.1%, the literature reported that about 22 to 34%.