de Winter综合征5例临床分析及预后  

Clinical analysis and prognosis of 5 patients with de Winter syndrome

作　　者：戴芝银[1] 姜瑜 袁伟[1] 李卫东[1] 李璇[1] DAI Zhiyin;JIANG Yu;YUAN Wei;LI Weidong;LI Xuan(Department of Cardiology,Affiliated Hospital of Jiangsu University,Zhenjiang Jiangsu 212001,China)

机构地区：[1]江苏大学附属医院心内科,江苏镇江212001

出　　处：《实用心电学杂志》2022年第2期118-121,共4页Journal of Practical Electrocardiology

基　　金：江苏省卫生健康委员会面上科研课题项目(H201644)。

摘　　要：目的探讨de Winter综合征的治疗策略及预后。方法回顾性分析我院收治的急性前壁心肌梗死患者261例,筛选出de Winter综合征心电图改变的患者,分析其冠状动脉造影情况、治疗及预后。结果共筛选出5例(1.9%)符合de Winter综合征心电图改变的急性前壁心肌梗死患者,其中男4例、女1例;罪犯血管为左前降支或对角支,均成功行直接经皮冠状动脉介入术治疗。术后随访6个月,1例发生术后心绞痛;无心功能不全、心脏性猝死。结论de Winter综合征是ST段抬高型心肌梗死的等危症,应及时、有效开通罪犯血管,以实现良好预后。Objective To investigate the treatment strategy and prognosis of de Winter syndrome.Methods Retrospective analysis was performed on 261 patients with acute anterior wall myocardial infarction admitted in our hospital,and those with ECG changes of de Winter syndrome were selected to analyze the coronary angiographic results,treatment and prognosis.Results Five patients(accounting for 1.9%)with acute anterior wall myocardial infarction consistent with ECG changes of de Winter syndrome are screened out,including 4 males and one female.The culprit vessel of the 5 patients are left anterior descending branch or diagonal branch,and all successfully treated by primary percutaneous coronary intervention.They are followed up 6 months after the surgery,and one patient suffers from postoperative angina pectoris while no cardiac insufficiency or sudden cardiac death is found.Conclusion As an equivalence of ST-segment elevation myocardial infarction in the criticality,de Winter syndrome requires for a timely and effective opening of the culprit vessels to realize a favourable prognosis.

关 键 词：de Winter综合征 急性心肌梗死 ST段抬高型心肌梗死 冠状动脉造影 经皮冠状动脉介入治疗 胸痛中心 

分 类 号：R542.22[医药卫生—心血管疾病]