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急性心肌梗死发病时左心室充血性心力衰竭的诊断

[Diagnosis of left ventricular congestive heart failure at the onset of acute myocardial infarct].

作者信息

Gol'dberg G A, Gulevich S I, Fastykovskaia E D, Lel'chuk V I, Bartosh L F

出版信息

Kardiologiia. 1978 Feb;18(2):45-50.

PMID:633726
Abstract

According to the results of X-ray examination conducted in the first 2 days of the disease, 143 patients with myocardial infarction were separated into 2 groups: those with a normal pulmonary pattern and those with congestion or edema of the lungs. In pulmonary congestion the clinical data were at disparity with the X-ray findings in more than half of the patients. At the same time, comparison of the values of volumetric pulmonary rheography and accelerative kinetocardiography, treated by the method of linear discriminant functions, with the findings of pulmonary roentgenography showed only a small percentage (lesser than that in the clinic) of non-coincidence in the diagnosis of congestive left-ventricular failure.

摘要

根据在发病头两天进行的X线检查结果,143例心肌梗死患者被分为两组:肺野正常组和肺充血或肺水肿组。在肺充血患者中,超过半数患者的临床资料与X线检查结果不一致。同时,采用线性判别函数法处理的肺容积血流图和加速心动图检查结果与肺部X线检查结果相比,在充血性左心衰竭诊断中的不一致率仅为一小部分(低于临床)。

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