论文部分内容阅读
目的探究对心肌致密化不全合并心肌梗死患者采用超声诊断的临床价值。方法选取我院2014年2月~2015年4月收治的14例心肌致密化不全合并心肌梗死患者作为研究对象,所有患者均通过超声诊断,分析其诊断价值。结果 14例患者中,左室心肌致密化不全合并左室心肌梗死者12例,左室右室心肌致密化不全合并后壁和下壁、右室心肌梗死者2例。广泛前壁心肌梗死、前间隔心肌梗死、下壁心肌梗死、后闭合下壁合并有时心肌梗死者各5例、4例、3例、2例。主要超声表现为心外膜变薄、心内膜增厚,射血分数降低,瓣膜反流、可见间隙中的血流信号和呈非致密心肌回声。结论心肌梗死产生的原因和冠状动脉自身病变、心肌致密化不全血栓脱落有较大的联系,采用超声诊断具有较高的准确性,能够指导治疗医生对患者展开针对性的治疗,提升预后水平。
Objective To investigate the clinical value of ultrasonic diagnosis in patients with myocardial degeneration and myocardial infarction. Methods From January 2014 to April 2015 in our hospital, 14 patients with myocardial infarction with myocardial infarction and myocardial densification were enrolled. All patients were diagnosed by ultrasound and analyzed by ultrasound. Results Among the 14 patients, there were 12 patients with left ventricular hypertrophy and left ventricular myocardial infarction, 2 patients with right ventricular hypertrophy and left ventricular dysfunction with posterior wall and inferior wall and right ventricular myocardial infarction. Extensive anterior myocardial infarction, anterior septal myocardial infarction, inferior myocardial infarction, posterior closed inferior wall merger and sometimes myocardial infarction in 5 cases, 4 cases, 3 cases, 2 cases. The main ultrasound showed epicardial thinning, thickening of the endocardium, ejection fraction decreased, valvular regurgitation, blood flow signals can be seen in the gap and were non-dense myocardial echo. Conclusions The causes of myocardial infarction are related to coronary artery auto-pathological changes and myocardial densification incomplete thrombus shedding. Ultrasound diagnosis has higher accuracy and can guide the treating physician to carry out targeted therapy on patients and improve the prognosis.