急性下壁心肌梗死并发亚急性心脏破裂致急性心包填塞存活1例报告  

Acute myocardial infarction complicated by subacute heart rupture resulting in acute pericardial tamponade survival a case report

作　　者：张永乐[1] 艾辰 张东辉 张军[1] Zhang Yongle;Ai Chen;Zhang Donghui;Zhang Jun(Zhang Jun Mingyi Studio,Wuqing District Traditional Chinese Medicine Hospital,Tianjin 301700,China)

机构地区：[1]天津市武清区中医医院张军名医工作室,天津301700

出　　处：《首都食品与医药》2023年第18期53-56,共4页Capital Food Medicine

摘　　要：心脏破裂(CR)是急性心肌梗死(AMI)极为严重且致命的急性并发症,发病急骤且病死率极高。近年来,随着再灌注治疗的广泛开展以及胸痛中心的建设,AMI的病死率呈现下降趋势,但CR临床救治成功率仍然很低,其在AMI并发症的死亡率中的占比几乎没有改变。因此,积极防治濒临CR者和尽早确诊CR尤为重要。此文通过对1例AMI并发CR出现心包填塞患者的成功救治情况进行回顾分析,旨在探讨AMI并发CR的防治策略。Cardiac rupture(CR)is an extremely serious and fatal mechanical complication of acute myocardial infarction(AMI),with a sudden onset and high mortality rate.In recent years,with the widespread implementation of reperfusion therapy and the construction of chest pain centers,the mortality rate of AMI has shown a downward trend.However,the success rate of clinical treatment for CR is still very low,and its proportion in the mortality rate of AMI complications has hardly changed.Therefore,it is particularly important to actively prevent and treat individuals on the brink of CR and to diagnose CR as soon as possible.This article aims to explore the prevention and treatment strategies for AMI complicated with CR by successfully treating a case of pericardial tamponade in an AMI patient.

关 键 词：心肌梗死 亚急性心脏破裂 心包填塞 

分 类 号：R542.22[医药卫生—心血管疾病]