急性心肌梗死并发症的超声心动图表现及临床意义

摘要

目的：总结急性心肌梗死并发症的超声心动图特征，为临床采取合理治疗措施提供依据。方法随机抽取急性心肌梗死患者186例，回顾性分析和总结发生并发症的急性心肌梗死患者的超声心动图特点。结果室间隔穿孔5例，心包积液20例，心脏压塞3例，真性室壁瘤53例，附壁血栓21例，同时并发2种或2种以上的上述并发症9例。结论超声心动图可及时、准确诊断急性心肌梗死的并发症，为临床诊断及治疗提供有价值的依据。%Objective To summarize the sonographic features of complications of acute myocardial infarction. Methods Analyzed retrospectively and summarized the sonographic features of complications of acute myocardial infarction in 186 cases. Results VSP occurred in 5 cases, 20 cases of pericardial effusion, pericardial tamponade in 3 cases, 53 cases of true ventricular aneurysm, mural thrombus in 21 cases, simultaneous or 2 more than 2 of the above complications in 9 cases. Conclusions Echocardiography could diagnose the complications of acute myocardial infarction timely and accurately, providing the evidences for the diagnosis and treatment.