[急性心肌梗死时左心功能不全的早期诊断可能性]
[Possibilities of early diagnosis of left-heart insufficiency in acute myocardial infarction].
作者信息
Thiele R, Marzoll I, Felsch G, Gerner U, Sumadirana A H, Günther E
出版信息
Z Gesamte Inn Med. 1984 May 1;39(9):186-90.
In 84 patients with an acute myocardial infarction clinical signs, measurement of the pressure of the pulmonary arteries and radiogramme of the thorax were used and compared for the estimation of the left heart insufficiency-particularly of an increase of a preload. The value of a standardized course series of radiogrammes of the thorax as a non-invasive investigation method in contrast to the invasive method of the pressure measurement of the pulmonary arteries was discussed. Advantages and disadvantages of the two methods were critically shown, since only in about 60% a correspondence was to be recognized.
在84例急性心肌梗死患者中，采用临床体征、肺动脉压力测量和胸部X线片来评估左心功能不全，尤其是前负荷增加的情况，并进行了比较。讨论了胸部X线片标准化系列检查作为一种非侵入性检查方法相对于肺动脉压力测量这种侵入性方法的价值。对这两种方法的优缺点进行了批判性展示，因为只有约60%的情况能发现两者具有一致性。
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