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心肌梗塞通常累及左心室游离壁及室间隔,右心室游离壁受累者直至近年才有少数临床病理报告。在穿壁性心肌梗塞中,左心室梗塞合并右心室梗塞的尸检发病率为13.8~14%,左心室下壁心肌梗塞合并右心室梗塞者占24%,而单独右心室梗塞的尸检发病率仅1.8%。由于右心室梗塞缺乏特异的心电图改变或被并存的左心室梗塞症状所掩
Myocardial infarction usually involves the left ventricular free wall and ventricular septum, right ventricular free wall involvement in recent years, only a few clinical and pathological reports. The incidence of autopsy of left ventricular infarction with right ventricular infarction in thoracic myocardial infarction was 13.8-14%, with left ventricular myocardial infarction in 24% of patients with right ventricular infarction, whereas incidence of autopsy in isolated right ventricular infarction was only 1.8%. Due to a lack of specific ECG changes or coexisting symptoms of LV infarction due to right ventricular infarction