摘要
目的探讨右心室急性心肌梗死的病情诊断及治疗效果。方法选择急诊内科收治的急性右心室心肌梗死的患者60例,其中6例行保守治疗的方式,13例给予溶栓治疗,41例行介入治疗;对患者性别、年龄、糖尿病、抽烟、高血压等危险因素与住院的死亡率及不良心血管事件发生率之间的关系采用多因素回归模型进行回归分析。结果 6例保守治疗的患者中死亡1例。13例行溶栓方法治疗的患者发生心绞痛7例,11例临床判定再通,死亡2例;41例行介入治疗的患者均获得成功,无一例死亡。应用多因素回归对高危因素与住院期间死亡和不良心血管事件的发生率进行分析。结论急性右心室心肌梗死具有较高的死亡率和不良事件发生率,患者性别、年龄、心脏功能及严重的血管病变都是对其影响的重要因素,早期及时诊断,选用合理治疗方案是抢救成功的关键,采取介入治疗可使右室心肌梗死降低,尤其是治疗合并心源性休克或低血压的患者均比保守治疗和溶栓治疗死亡率低。
Objective To evaluate the right ventricular acute myocardial infarction diagnosis and treatment of disease.Methods There are 60 patients who died because of acute right ventricular myocardial infarction which 6 cases conservative treatment,13 patients were given thrombolytic therapy,41 cases which been given intervention treatment;on sex,age,diabetes,smoking,high blood pressure and other factors with hospital mortality and adverse cardiovascular events between the incidence of multi-factor regression model using regression analysis.Results Six cases of conservative treatment of patients and 1 died.13 cases Rongshuan angina patients treated in 7 cases,11 cases to determine recanalization and 2 deaths;41 cases involved were successful and no death.Multivariate regression of risk factors and hospital mortality and the incidence of adverse cardiovascular events were analyzed.Conclusion Acute right ventricular myocardial infarction have higher mortality and Aderse eents incidence,patient gender,age,cardiac function and severe vascular disease are important factors in its impact,early and timely diagnosis,and reasonable treatment is critical to success, to take intervention can decrease right ventricular myocardial infarction,specially patient in the treatment of cardiogenic shock or hypotension in patients with lower mortality than thrombolytic therapy and conservative treatment.
出处
《中外医疗》
2011年第22期16-17,共2页
China & Foreign Medical Treatment
关键词
右心室心肌梗死
梗死
Right ventricular myocardial infarction
Infarction
