冠状动脉瘤内血栓形成致急性下壁心肌梗死1例  

Acute inferior myocardial infarction caused by thrombosis in coronary artery aneurysm:a case report

作　　者：黄柳海 徐冰 何胜虎 HUANG Liuhai;XU Bing;HE Shenghu(Department of Cardiology,The Second Xiangya Hospital of Central South University,Changsha,410000,China;Department of Cardiology,Subei People's Hospital,Yangzhou University)

机构地区：[1]中南大学湘雅二医院心内科,长沙410000 [2]扬州大学附属苏北人民医院心内科

出　　处：《临床心血管病杂志》2020年第11期1068-1070,共3页Journal of Clinical Cardiology

摘　　要：1病例资料患者,男,34岁,因"胸痛10h伴一过性意识丧失"入院。患者夜间休息时突发右侧胸部隐痛,持续不缓解,有一过性意识丧失,呼之不应,伴双眼上翻,小便失禁,无肢体抽搐,家属胸部按压约3min后意识恢复。既往有高血压病史5年,吸烟10余年;否认糖尿病、血脂异常、幼年川崎病等病史,无口腔、外阴溃疡、皮疹、结节红斑等病史。入院体检:脉搏94次/min,呼吸18次/min,血压126/74mmHg(1mmHg=0.133kPa),身高172cm.Coronary artery aneurysms are usually described as dilatation 1.5 times larger than the diameter of the adjacent coronary artery and are at risk of rupture,thrombosis and distal embolism.This case is associated with acute myocardial infarction caused by thrombosis in a coronary aneurysm.Only thrombus aspiration was performed during the operation,and drug treatment was selected after operation.There was no bleeding or thrombus event during the 6-month follow-up.

关 键 词：冠状动脉瘤 急性ST段抬高型心肌梗死 血栓抽吸术 药物治疗 

分 类 号：R542.22[医药卫生—心血管疾病]