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报告13例急性右心室梗塞合并左室下壁梗塞.心电图显V_3R～V_6导联中一个或更多导联的ST段抬高均大于1mm;血流动力学检查发现右房压>13.3kPa,右室舒张未压升高,均呈平方根样右室压力曲线.急性心肌梗塞有右心衰表现和/或休克者,高度提示存在右心室梗塞,应结合心电图和血流动力学检查予以证实或排除.治疗原则是适量补液,有休克者加用多巴胺,合并左心功能不全者加用硝酸甘油.
Thirteen cases of acute right ventricular infarction combined with left ventricular inferior wall infarction were reported.The ST segment elevation of one or more lead in V_3R ~ V_6 lead of electrocardiogram was greater than 1mm.Hydrodynamic examination revealed right atrial pressure> 13.3kPa, Right ventricular diastolic pressure was elevated, were square root-like right ventricular pressure curve.Acute myocardial infarction with right heart failure performance and / or shock, highly suggestive of right ventricular infarction, should be combined with ECG and hemodynamic examination to be confirmed or Rule out the principle of rehydration, shock plus dopamine, combined with left ventricular dysfunction plus nitroglycerin.