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急性心肌梗塞(AMI)伴室间隔破裂、乳头肌断裂及心室壁破裂等严重并发症,临床鉴别较困难。但由于此三者血液动力学改变截然不同,心电图可提供较有价值的依据。本院遇到1例,现分析报道如下。患者男性,68岁,既往有糖尿病与冠心病史。此次因旅游过劳而出现心前区疼痛、胸闷,并逐渐加剧,向左臂放散,伴大汗。经口含硝酸甘油及服心痛定无效,心电图检查示急性下壁心肌梗塞演变期图形并前壁心肌缺血。心脏听诊胸骨左缘第四肋间闻及奔
Acute myocardial infarction (AMI) with interventricular septal rupture, papillary muscle rupture and ventricular wall rupture and other serious complications, clinical identification more difficult. However, due to the three different hemodynamic changes, ECG can provide more valuable basis. The hospital encountered 1 case, the analysis is reported as follows. Male patient, 68 years old, with previous history of diabetes and coronary heart disease. The tour due to fatigue and precordial pain, chest tightness, and gradually aggravated, to the left arm to dissipate, with sweat. Oral administration of nitroglycerin and convinced of nifedipine, electrocardiogram showed acute inferior myocardial infarction evolution phase and anterior myocardial ischemia. Cardiac auscultation of the fourth intercostal space on the left margin of the sternum Ben