心电图、血流动力学及血清酶学改变对急性右室梗塞早期诊断的价值

The Evaluation on Early Diagnosis of Acute Right Ventricular Infarction in Changing of ECG、Hemodynamics and Serum Enzymes Activities

本文对22例急性右室梗塞(ARVI)、22例急性左室梗塞(ALVI)和9例缩窄性心包炎进行了心电图、血流动力学及血清酶学研究。结果表明: STv4R≥1mm、STⅢ/Ⅱ>1及RAP≥10mmHg(1.33kPa)对ARVI诊断的敏感性分别为77％,77％和67％。CPK和GOT峰值右室梗塞明显高于左室梗塞(P<0.05)。提示三种辅助检查对ARVI的早期诊断有较高的价值。

22 cases of acute right ventricular infarction (ARVI) . 22 cases of acute left ventricular infarction ( ALVI ) and 9 cases of constrictive pericarditis were studied by ECG, hemodynamics and serum enzymes activities. The results showed the STV4R≥1 mm、STⅢ/Ⅱ>1and RAP≥10mmHg ( 1.33kPa) , the Senitivity of which for ARVI were respectively 77%、77% and 67% . The peak va.lue of CPK and GOT of ARVI were higher than that of ALVI (P<0.05) . Therefore, this three accessory examinations may be of higher valuable in the early diagnosis of ARVI .