急性胸痛发作95例床旁超声心动图临床分析

Clinical analysis of bedside echocardiography in 95 cases of acute chest pain

通过分析2004年9月至2007年9月在苏州大学附属第一医院行急诊床旁超声心动图检查的急性胸痛患者95例临床资料,探讨急诊床旁超声心动图在急性胸痛发作中的临床应用。急诊床旁超声心动图检查直接明确诊断或提供重要参考87例(91.6%);漏诊3例(3.2%);检查结果阴性5例(5.26%)。纠正初始诊断10例(10.5%);直接导致即刻临床干预8例(8.4%)。急诊床旁超声心动图检查快捷、方便,对鉴别急性胸痛病因,临床决策有重要价值。

Summay：We analyzed bedside echocardiography in 95 cases of acute chest pain, to evaluate the its clinical value. The rate of diagnostic accuracy was 91.6% （ 87/95 ） , misdiagnose 3.2% （ 3/95 ） , corrected diagnosis 10. 5% （ 10/95 ） , negative results 5.26% （5/95）. In 8（8.4% ） cases immediate clinical intervention were requested after bedside echoeardiography. Bedside eehocardiography is convenient, fast,reliable and accurate method for differential diagnosis of acute chest pain.