超声心动图诊断心肌梗死并发后间隔多发穿孔及室壁瘤1例

Diagnosis of myocardial infarction complicated with multiple perforation interval and ventricular aneurysm by echocardiography:a case report

患者男,71岁,因＂发作性胸痛、胸闷不适2个月,加重1周＂入院。心电图提示急性下壁心肌梗死。心肌坏死标记物检查：肌钙蛋白7.43 ng/ml,肌酸激酶同工酶6.32 ng/ml。超声检查：左室下壁、后间隔肌壁变薄向外膨出,呈矛盾运动,后间隔可见2个大小为4.3 mm、3.7 mm连续中断;CDFI示上述连续中断处可见左向右分流血流信号,频谱多普勒测得左向右分流速度4.92 m/s,