急性心肌梗死并发室间隔穿孔3例  

Ventricular septal rupture after myocardial infarction in 3 cases

作　　者：周霞[1] 王爽 郭春玲[1] 李粉侠 

机构地区：[1]陕西中医学院,咸阳712046 [2]西电集团医院心内科

出　　处：《临床医学》2009年第12期1-3,共3页Clinical Medicine

摘　　要：目的探讨急性心肌梗死(AMI)并发室间隔穿孔(VSR)的临床特点,为该并发症的早期诊断和治疗提供依据。方法对3例室间隔穿孔患者的临床资料进行回顾性分析。结果65岁以上,首次发生广泛前壁心肌梗死患者是并发室间隔穿孔的高危人群。即使早期行PCI术血运重建患者,1周以内仍要警惕该并发症的发生。结论全面细致的心脏听诊是早期发现该并发症的关键,尽早行超声心动检查是早期确诊该并发症的有效途径。积极有效的内科综合治疗和外科手术治疗能降低死亡率。Objective To explore the clinical charact, stics of ventricular septal rupture after aeute myocardial infarction and to provide evidence for the early diagnosis and treatment of this complication. Methods The data of clinical characteristics 3 patients with ventrieular septal rupture were analyzed retrospectively. Results The patients, advanced age （ 〉 65 years ）, who happended acute extensive anterior wall myocardial infarction for the first time is thenigh - risk groups of complicating ventricular septal rupture. Even if the patient was completed early PCI for referfusion, this complication still have to been predicted in a week. Conclusion Paying attention to carefully the auscultation of the heartis the key tctors for the early detection of ventricular septal rupture. Using echocardiography examination is an effective way for the early diagnosis of the complication. Active and effective medical treatment striving for surgical treatment can decrease the mortality.

关 键 词：心肌梗死 室间隔破裂 

分 类 号：R542.22[医药卫生—心血管疾病] R561.4[医药卫生—内科学]