急性心肌梗塞后室间隔穿孔──附7例报告  

POST-INFARCT VENTRICULAR SEPTAL RUPTURE──7CASES REPORT

作　　者：解基严[1] 王京生[1] 刘传绶[1] 王新生[1] 陈生龙[1] 林新技 漆一伟[1] 

机构地区：[1]北京医科大学人民医院心外科

出　　处：《北京医科大学学报》1996年第2期128-130,共3页Journal of Peking University(Health Sciences)

摘　　要：目的：提高急性心肌梗塞（ＡＭＩ）后室间隔穿孔（ＶＳＲ）的救治水平。方法：分析１９９０年４月～１９９４年１２月收治７例ＡＭＩ后ＶＳＲ资料。结果：ＡＭＩ后ＶＳＲ的发生率为１．４％（７／５０２），７例中２４ｈ内死亡３例，４例拟行外科手术，其中２例在术前死亡；２例行室间隔修补、室壁瘤切除及冠状血管重建术，术后１例死于急性肾功能衰竭，１例随访３ａ，心功能Ｉ级。结论：心电图、超声心动图和心导管资料有助于判断病情和预后，应根据血液动力学状态决定治疗方案或手术时机。Objective.To improve the treatment of post- infarct ventricular septal rupture(VSR ).Methods. The study analysesed the clinical experience anddata of 7 cases from 4.1 990 to 12. 1 994.Results. The incidence of VSR was 1.4%(7/502). Among them. 3 died within 24 hours. Four cases recelved surgical treatment. Two died before operation. On two were performed the operation of repariring VSR. resection LVaneursym and coronary revascularization. One died on the ninth day ow-ing to actue renal failur. Another one recovered well and follow- up three years sLhowed he was in NHYA class I. Conclusion. UCG. UCG and catheter data are useful for revealing clinical status and prognosis. It should be based on the hemodynamic condition and the major organs functions to decide the therapeu-tic tstrategy and operation time.

关 键 词：心肌梗塞 并发症 室间隔缺损 外科手术 

分 类 号：R654.2[医药卫生—外科学] R542.22[医药卫生—临床医学]