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目的:探讨心脏超声与冠脉造影在急性心肌梗死患者心脏结构与功能病变程度中的应用价值。方法:回顾性分析89例急性心肌梗死患者的临床资料,分析心脏超声诊断急性心肌梗死准确率以及不同冠脉病变程度患者左心室舒张末期内径(LVEDD)、左室射血分数(LVEF)水平。结果:单支病变、双支病变及三支病变患者两两比较,LVEDD逐级升高,LVEF逐级下降(P<0.05)。结论:心脏超声可以观察急性心肌梗死患者左室壁各节段的运动情况,并且可以全面评价心脏结构及功能。
Objective: To investigate the value of echocardiography and coronary echocardiography in the evaluation of cardiac structure and function in patients with acute myocardial infarction. Methods: The clinical data of 89 patients with acute myocardial infarction were retrospectively analyzed. The accuracy of echocardiography in diagnosing acute myocardial infarction and the left ventricular end diastolic diameter (LVEDD) and left ventricular ejection fraction (LVEF) in patients with different degree of coronary artery disease were analyzed. Results: LVEDD increased gradually and LVEF decreased step by step (P <0.05). Conclusion: Echocardiography can observe the movement of the left ventricular wall in patients with acute myocardial infarction, and can fully evaluate the structure and function of the heart.