论文部分内容阅读
此文报告200例急性心肌梗塞中,10例游离壁破裂,后者中6例为溶栓治疗病人。并重点分析了溶栓治疗与游离壁破裂的关系。10例游离壁破裂均经超声波、心包穿刺或尸检证实。男6、女4例,均龄70.7(53—80)岁,梗塞部位:以前壁为中心7例,后壁2例,下壁1例,破裂时间均在急性心梗后的70小时内。全部病例死亡,占死亡总数的29%。分析心脏破裂的危险因素表明,平均年龄稍高,与性别、心功能分级、CK峰值、血压控制是否满意
This article reports 200 cases of acute myocardial infarction, 10 cases of free wall rupture, the latter 6 cases of thrombolytic treatment of patients. The relationship between thrombolytic therapy and free wall rupture was analyzed emphatically. 10 cases of free wall rupture were confirmed by ultrasound, pericardiocentesis or autopsy. 6 males and 4 females, all of whom were 70.7 (53-80) years old. The infarct sites were 7 cases of anterior wall center, 2 posterior wall and 1 inferior wall. The rupture time was within 70 hours after acute myocardial infarction. All cases died, accounting for 29% of the total deaths. Analysis of the risk factors for heart rupture showed that the mean age was slightly higher and was consistent with gender, heart function grading, peak CK, and blood pressure control