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对28例AMI并发心脏破裂者的初步探讨,提示下列情况应警惕心脏破型的可能性:①AMI后第1周、尤其第1天内;②初发透壁性AMI,无心力衰竭及较重心绞痛的过去史;③发病前心脏无增大者;④AMI期间血压升至140/90mmHg以上;⑤AMI后出现持久或反复发作的剧烈胸痛;⑥年龄在60岁以上,尤其女性;⑦前壁梗塞。
On the 28 cases of AMI complicated with heart rupture of the preliminary discussion, suggesting that the following situations should be alert to the possibility of heartbreak: ① AMI after 1 week, especially within the first day; ② initial transmural AMI, no heart failure and severe angina Of the past history; ③ before the onset of heart enlargement; ④ AMI during blood pressure rose to 140 / 90mmHg or more; ⑤ after AMI persistent or recurrent severe chest pain; ⑥ over 60 years of age, especially women;