二维超声心动图在检测心肌梗塞病人中的价值

Value of 2-dimensinal Echocardiography in the observation of the patients with myocardial infarction

应用2-DE检测201例心肌梗塞病人,其中检出室壁瘤32例(占16％),附壁血栓11例(占5.5％),乳头肌功能不全6例(占3％)。与临床资料对照分析显示:临床心功能Ⅰ、Ⅱ、>Ⅲ级EF值分别为63.9±9.3％、55.1±13.0％、34.4±9.7％(P均<0.05);≥Ⅲ级分别与Ⅰ、Ⅱ级心功能病人比较,其室壁瘤、附壁血栓与室壁运动障碍的发生率均高(P均<0.05)。说明2-DE不仅可以发现影响心功能的因素,而且EF值也有助于心功能的分级。

In 201 cases of patients with myocardial infarction 2-dimensinal Echocar-diography (2-DE) discovered ventricular aneurysm in 32 cases (16%), parietal thrombus in 11 cases (5.5%). papillary insufficiency in 6 cases (3%). Comparative analysis with cl'inical material showed: EF Value of 2-DE in the clinical cardiac function Ⅰ,Ⅱ≥Ⅲ grade was 63.9 ± 9.3%, 55.1 ± 13.0 % and 34.4±9.7 % respectively (P<0.05). In the cardiac function≥Ⅲ grade comparative with Ⅰ and Ⅱ grade, incidence of ventricular aneurysm, parietal thrombus and dyskiriesia of ventricular wall all were higher (P<0.05). These showed that in patients with myocardial infarction, the 2-DE not only could discover the factors related with impairment of cardiac function but also could greatly contribute to evaluate the cardiac function.