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[应用扇形扫描法测定心肌损伤面积及其对急性心肌梗死预后的评估价值]

[Determining the area of myocardial damage by the method of sectorial scanning and its value for prognosis of the outcome of acute myocardial infarction].

作者信息

Charchoglian R A, Golikov A P, Levshunov S P, Drendel' S D

出版信息

Ter Arkh. 1985;57(5):68-72.

PMID:4023946
Abstract

The authors describe a method for measuring the myocardial injury area, and show the prognostic value of the latter based on examination of 100 patients admitted to the Cardioresuscitation Department with a diagnosis of acute transmural or large-focal myocardial infarction. The lifetime evaluation data of the IM size by means of two-dimensional echocardiography were in a good agreement (r = 0.85) with the morbid anatomy data. Determination of the injury size and ejection was found to be the most informative method for predicting an outcome of acute myocardial infarction. The use of the different combinations of the prognostic signs expands the possibilities of the given method and makes it possible to screen patients with a high risk of a lethal outcome and development of complications on the basis of the primary care at the early disease stage.

摘要

作者描述了一种测量心肌损伤面积的方法,并基于对100名因急性透壁性或大面积局灶性心肌梗死诊断而入住心脏复苏科的患者进行检查,展示了心肌损伤面积的预后价值。通过二维超声心动图对梗死心肌大小进行的终身评估数据与病理解剖数据高度一致(r = 0.85)。确定损伤大小和射血情况被认为是预测急性心肌梗死预后最具信息量的方法。使用不同的预后指标组合扩大了该方法的应用可能性,使得在疾病早期的初级护理基础上,能够筛选出有致命结局和并发症发生高风险的患者。

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