急诊床旁超声心动图在急性心肌梗死病人监护病房的临床应用价值

Clinical value of emergency bedside ultrasonocardiogram in cardiac care unit

目的探讨急诊床旁超声心动图(UCG)在急性心肌梗死病人监护病房(cardiac care unit, CCU)的临床应用价值方法回顾性分析了2000年4月至2001年3月进行急诊床旁UCG检查的116例临床病例。结果急诊床旁UCG检查的阳性率100%。本组116例中冠心病57例(49%),其中心肌梗死41例(35.0%),心绞痛16例(14.0%);高血压心脏病26例(22.5%);风湿性心脏病9例(7.8%);扩张型心肌病9例(7.8%);主动脉夹层瘤7例(6.0%);其他8例(6.9%)结论急诊床旁UCG检查,作为心脏急症诊断的辅助手段,无论在诊断阳性率方面,还是在对临床干预的结果方面,均具有重要的临床应用价值。

Objective To evaluate the clinical value of application of emergency bedside ultrasound cardiogram (UCG) in cardiac intensive care unit. Methods We conducted a retrospective analysis of 116 cases who received examination with emergency bedside UCG within the period from April 2000 to March 2001. Results The positiveity rate of examination with emergency bedside UCG was 100% among these patients. The diseases identified were as follows: acute myocardial infarction in 41 cases, angina pectoris in 16, ventricular aneurysm in 5, perforation of ventricular septum in 2, rheumatic valvular disease in 9, dilated cardiomyopathy in 9 and aortic dissecting aneurysm in 7. Conclusion Emergency bedside UCG has important value in clinical diagnosis of cardiac emergencies.