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目的探究急诊床旁超声心动图在心血管疾病诊断中的应用价值。方法 200例急诊心血管疾病患者,按入院时间随机分为实验组和对照组,每组100例。实验组患者运用急诊床旁超声心动图对患者病情进行诊断,对照组患者采用常规方法进行诊断。比较两组诊断效果。结果实验组患者急诊床旁超声检查诊断阳性89例,诊断阳性率为89.00%,其中,检查出急性心肌梗死39例,肺源性心脏病8例,风湿性心脏病4例,肥厚性心脏病2例,夹层动脉瘤4例,扩张型心肌病2例,肥厚型心肌病3例,急性左心衰竭4例,心包积液7例,先天性心脏病5例,胸腔积液11例。对照组患者急诊床旁超声检查诊断阳性52例,诊断阳性率为52.00%,其中,检查出急性心肌梗死27例,肺源性心脏病3例,风湿性心脏病2例,夹层动脉瘤2例,扩张型心肌病1例,肥厚型心肌病2例,急性左心衰竭3例,心包积液4例,先天性心脏病2例,胸腔积液6例。两组诊断阳性率比较差异具有统计学意义(χ2=32.91,P<0.05)。结论急诊床旁超声心动图在心血管疾病诊断中具有重要的应用价值,值得临床推广。
Objective To investigate the clinical value of emergency bedside echocardiography in the diagnosis of cardiovascular diseases. Methods 200 patients with acute cardiovascular disease were randomly divided into experimental group and control group according to the time of admission, with 100 cases in each group. Patients in the experimental group were diagnosed with emergency bedside echocardiography and patients in the control group were diagnosed by conventional methods. Compare the two groups of diagnostic results. Results In the experimental group, 89 cases were diagnosed positive by bedside ultrasonography, the positive rate was 89.00%. Among them, 39 cases were diagnosed as acute myocardial infarction, 8 cases of pulmonary heart disease, 4 cases of rheumatic heart disease, 6 cases of hypertrophic heart disease 2 cases, dissecting aneurysm in 4 cases, dilated cardiomyopathy in 2 cases, hypertrophic cardiomyopathy in 3 cases, acute left heart failure in 4 cases, pericardial effusion in 7 cases, congenital heart disease in 5 cases and pleural effusion in 11 cases. The control group of patients with emergency bedside ultrasound examination positive 52 cases, the diagnostic positive rate was 52.00%, of which 27 cases were detected acute myocardial infarction, pulmonary heart disease in 3 cases, rheumatic heart disease in 2 cases, 2 cases of dissection aneurysm , 1 case of dilated cardiomyopathy, 2 cases of hypertrophic cardiomyopathy, 3 cases of acute left heart failure, 4 cases of pericardial effusion, 2 cases of congenital heart disease and 6 cases of pleural effusion. The diagnostic positive rate of the two groups was statistically significant (χ2 = 32.91, P <0.05). Conclusion Emergency bedside echocardiography has an important value in the diagnosis of cardiovascular diseases and is worthy of clinical promotion.