超声心动图鉴别诊断急性胸痛病因的效果评价

Evaluation of Echocardiography in Differential Diagnosis of Acute Chest Pain

目的研究超声心动图在鉴别诊断急性胸痛病因中的效果。方法选取2017年7月—2018年6月本院接收的急性胸痛患者80例作为研究对象。所有患者均接受超声心动图检查,以造影检查联合实验室检查结果作为金标准,分析检查结果。结果与金标准进行比较,超声心动图检查诊断急性胸痛的灵敏度为85.00%,特异度为0.00%,准确率为85.00%;急性心肌梗死、心尖部室壁瘤、高血压性心脏病、急性肺动脉栓塞、肥厚型心肌病、室间隔穿孔、主动脉夹层动脉瘤、心肌梗死并发症心脏破裂等疾病均可能引起急性胸痛。结论超声心动图可有效鉴别诊断急性胸痛的病因,临床应用价值较高。

Objective To study the effect of echocardiography in the differential diagnosis of acute chest pain.Methods80cases of patients with acute chest pain received in our hospital from July2017to June2018were selected as the study subjects.All patients were examined by echocardiography,and the results of angiography combined with laboratory examination were taken as the gold standard to analyze the results.Results Compared with the gold standard,the sensitivity,specificity and accuracy of echocardiography in the diagnosis of acute chest pain were85.00%,0.00%and85.00%,respectively.Acute myocardial infarction,apical ventricular aneurysm,hypertensive heart disease,acute pulmonary embolism,hypertrophic cardiomyopathy,ventricular septal perforation,aortic dissecting aneurysm,complications of myocardial infarction and cardiac rupture may all cause acute chest pain.Conclusion Echocardiography can effectively differentiate the cause of acute chest pain and has a high clinical value.