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目的:探讨急性心肌梗死(AMI)并发心脏破裂的诱因、临床表现、早期诊断及预防措施。方法:回顾性分析我院收治的6例AMI并发心脏破裂患者的临床资料。结果:心脏破裂均发生在AMI 1周内,其中发生左室游离壁破裂4例,室间隔穿孔2例。以上患者明确诊断后立即降压,补充血容量,保持安静,避免精神紧张,止痛及对症治疗,但疗效不佳。于心脏破裂后20 min~48 h内死亡。结论:AMI合并心脏破裂的预后极差,对心脏破裂高危人群AMI后各种危险因素的防治是减少心脏破裂发生的关键。
Objective: To investigate the causes, clinical manifestations, early diagnosis and preventive measures of acute myocardial infarction (AMI) complicated with heart rupture. Methods: The clinical data of 6 patients with AMI complicated with heart rupture treated in our hospital were retrospectively analyzed. Results: Cardiac rupture occurred within 1 week of AMI, including 4 cases of left ventricular free wall rupture and 2 cases of ventricular septal perforation. The above patients immediately after the diagnosis of blood pressure relief, blood volume, to maintain quiet, to avoid mental stress, pain and symptomatic treatment, but poor efficacy. Died within 20 min ~ 48 h after heart rupture. Conclusions: The prognosis of AMI combined with heart rupture is very poor. The prevention and treatment of various risk factors after AMI in high risk of heart rupture is the key to reduce the occurrence of heart rupture.