[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnJ-Wdpv3_U63hBWQ_9OVMFOxbyqLXYPxMyY5EM56rhg":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":53},4350,"室壁瘤"," 室壁瘤诊断与治疗 - 医疗指南与健康知识"," 室壁瘤, 心室壁瘤, 室壁瘤症状, 室壁瘤治疗, 室壁瘤原因, 室壁瘤预防, 心血管疾病"," 了解室壁瘤的详细信息，包括其症状、原因、诊断和治疗方法。室壁瘤是一种与心血管疾病相关的严重疾病，及时了解相关知识和预防措施对您的健康至关重要。阅读本文，获取最新的医疗指南与健康知识。",[18,23,28,33,38,43,48],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},128700,"概述","\u003Cp>　　冠心病患者大面积心肌梗死后梗死区域出现室壁扩张、变薄、心肌全层坏死，坏死的心肌逐渐被纤维疤痕组织所替代，病变区薄层的心室壁向外膨出，心脏收缩时丧失活动能力或呈现反常运动，形成室壁瘤 。室壁瘤常见于左心室。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},128701,"病因","\u003Cp>　　按病理解剖分：\u003C/p>\u003Cp>　　(1)真性室壁瘤，急性心肌梗死时，梗死心肌组织坏死、室壁变薄、收缩力丧失，心肌在愈合过程中被结缔组织替代，形成薄弱的瘢痕区，心脏收缩时此区呈反向运动，膨出呈袋状、囊状或不规则状，腔内无肌小梁，与周围正常心肌组织界限清楚。在心脏收缩与舒张期均见膨出，则称解剖性真性室壁瘤;如梗死区心肌不是完全性坏死，愈合过程中仅局限性纤维化，与周围正常心肌组织界限不清，腔内可见肌小梁结构，这种膨出只在收缩期出现，则称功能性真性室壁瘤。\u003C/p>\u003Cp>　　(2)假性室壁瘤，心肌梗死急性期，室壁破裂，破口周围由血栓堵塞或粘连，瘤壁由心包膜组成，假性室壁瘤与真性室壁瘤的本质区别是心脏已破裂。\u003C/p>\u003Cp>　　按病程分型：真性室壁瘤又分为急性和慢性。\u003C/p>\u003Cp>　　(1)急性室壁瘤多在心肌梗死急性期形成。常在心肌梗死发病后24小时内形成，易发生心脏破裂。\u003C/p>\u003Cp>　　(2)慢性室壁瘤指在心肌梗死愈合过程中，梗死区逐渐被结缔组织替代，形成纤维瘢痕组织。多数学者认为，心肌梗死发生15天后的室壁瘤慢性室壁瘤，也有把真性室壁瘤分为急性室壁瘤和陈旧性室壁瘤，并认为后者是由于急性室壁瘤随炎症的修复而瘢痕化形成的。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},128702,"症状","\u003Cp>　　常见症状：胸闷、胸痛、呼吸困难、气促\u003C/p>\u003Cp>　　1、在心尖的内上方触到异常的收缩期搏动。\u003C/p>\u003Cp>　　2、动脉栓塞反复发作的室性心律失常或充血性心力衰竭，后二者常为难治性的。\u003C/p>\u003Cp>　　3、X线胸片室壁瘤处可见钙化，心脏不同角度x线片，可见左心缘有局限性膨降，但瘤体较大呈弥漫性膨出时，应与左室增大鉴别。\u003C/p>\u003Cp>　　4、二维超声心动图或放射性核素心室造影可发现左室节段性收缩期反常膨出。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},128703,"检查","\u003Cp>　　检查项目：心电图、超声心动图、心脏彩超\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},128704,"鉴别","\u003Cp>　　(1)ST 段弓背样抬高至少≥ 0.1 mV，而≥0.2 mV价值较大。\u003C/p>\u003Cp>　　(2)ST段抬高≥0.1 mV持续1个月或ST段抬高≥0.2 mV持续15天。\u003C/p>\u003Cp>　　(3)在有ST段抬高的导联有异常Q 波形成。\u003C/p>\u003Cp>　　(4)ST段抬高至少出现4个导联。\u003C/p>\u003Cp>　　(5)运动负荷心电图试验时，ST段弓背样抬高≥0.1 m 。\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},128705,"并发症","\u003Cp>　　①心力衰竭：②室性心律失常：③室壁瘤大小：临床心力衰竭的发生与室壁瘤体积大小直接相关室壁瘤是透壁性心肌梗死的严重并发症。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},128706,"治疗","\u003Cp>　　室壁瘤多需要手术治疗，正确选择手术方式是成功的关键。\u003C/p>",6,[54],"心血管外科",true]