急性心肌梗死机械并发症治疗进展  

Treatment progress of mechanical complications of acute myocardial infarction

作　　者：唐建军[1] 金啸天 TANG Jianjun;JIN Xiaotian(Department of Cardiology,the Second Xiangya Hospital of Central South University,Changsha,410011,China)

机构地区：[1]中南大学湘雅二医院心血管内科,长沙410011

出　　处：《临床心血管病杂志》2023年第7期498-500,共3页Journal of Clinical Cardiology

摘　　要：机械并发症是急性心肌梗死的严重并发症,主要包括急性二尖瓣反流、室间隔穿孔、心室游离壁破裂和室壁瘤形成。急性心肌梗死机械并发症的发生率较低,但病死率很高,并且治疗相当复杂。以经皮冠状动脉介入治疗为代表的心肌梗死再灌注治疗,在改善急性心肌梗死患者病死率及预后等方面有了长足进步,但在过去20余年间,尽管手术技术不断改进、机械循环辅助装置使用增加,急性心肌梗死机械并发症的病死率仍然居高不下。本文将回顾急性心肌梗死的机械并发症的主要治疗手段。Mechanical complications are serious complications of myocardial infarction, including acute mitral regurgitation, interventricular septum perforation, ventricular aneurysm formation and ventricular free wall rupture. Overall, the incidence of mechanical complications is low, but the mortality rate is high and the treatment is quite complex. Emergency treatment for myocardial infarction, represented by percutaneous coronary intervention, has made significant progress in improving the mortality and prognosis of AMI patients. However, in the last 20 years, despite continuous improvement in surgical techniques and increased use of mechanical circulatory support devices, the mortality rate of mechanical complications remains really high.

关 键 词：急性心肌梗死 机械并发症 机械循环辅助 

分 类 号：R542.2[医药卫生—心血管疾病]