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作 者:Wei-Chao Liu Shun-Bao Li Chen-Feng Zhang Xiang-Hui Cui
出 处:《World Journal of Clinical Cases》2022年第10期3222-3231,共10页世界临床病例杂志
摘 要:BACKGROUND Cases of severe pneumonia complicated with acute myocardial infarction(AMI)with good prognosis after percutaneous coronary intervention(PCI)are rare,especially those with postoperative pericarditis and intestinal obstruction.CASE SUMMARY A 53-year-old male patient was admitted to the emergency department of our hospital because of paroxysmal chest tightness for 4 d,aggravated with chest pain for 12 h.The symptoms,electrocardiography,biochemical parameters,echocardiography and chest computed tomography confirmed the diagnosis of severe pneumonia complicated with AMI.The patient was treated with antiplatelet aggregation,anticoagulation,lipid regulation,vasodilation,anti-infective agents and direct PCI.The patient was discharged after 3 wk of treatment.Follow-up showed that the patient was asymptomatic without recurrence.CONCLUSION For patients with severe pneumonia complicated with AMI,PCI and antibiotic therapy is a life-saving strategy.
关 键 词:Severe pneumonia Acute myocardial infarction Percutaneous coronary intervention PERICARDITIS Intestinal obstruction Case report
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