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心脏破裂是急性心肌梗塞(AUI)的主要并发症之一,其防治也是CCU的重要研究课题.在血液动力学监测下发生室间隔穿孔的资料报道较少,现报告一例如下.1 病例报告女68岁,左胸及上腹部压榨样疼痛4小时入院.查体T37.2℃,BP 17.2/9.8KPa,左腋下闻少量湿性罗音,心界稍向左扩大,心率92次/分,律齐,未闻杂音,腹部无异常.ECG STV_(V_1～V_5)、I、aVL弓背型抬高,诊断为急性广泛前壁心肌梗塞.于发病后7小时行静脉溶栓治疗(尿激酶120万单位),无冠脉再通指征.次日胸痛消失.化验:CK 1598 IU/L、LDL
Cardiac rupture is one of the major complication of acute myocardial infarction (AUI), and its prevention and treatment is also an important research topic of CCU.Here reports of ventricular septal perforation under hemodynamic monitoring are few, and one case is reported as follows: 68 years old, left chest and upper abdomen press-like pain 4 hours admission. Physical examination T37.2 ℃, BP 17.2 / 9.8KPa, left axillary smell a small amount of wet rales, heart slightly expanded left heart rate 92 beats / min, No abnormalities in the abdomen and no abnormalities in the abdomen.ECG STV_ (V_1 ~ V_5), I, aVL dorsoventral elevation, diagnosis of acute extensive anterior myocardial infarction.After 7 hours of onset of intravenous thrombolytic therapy (urokinase 1.2 million units), no indications for coronary recanalization Chest pain disappeared the next day Assay: CK 1598 IU / L, LDL