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目的探讨急性心肌梗死(AMI)并发室间隔穿孔(VSR)的临床特点,为该并发症的早期诊断和治疗提供依据。方法对3例室间隔穿孔患者的临床资料进行回顾性分析。结果65岁以上,首次发生广泛前壁心肌梗死患者是并发室间隔穿孔的高危人群。即使早期行PCI术血运重建患者,1周以内仍要警惕该并发症的发生。结论全面细致的心脏听诊是早期发现该并发症的关键,尽早行超声心动检查是早期确诊该并发症的有效途径。积极有效的内科综合治疗和外科手术治疗能降低死亡率。
Objective To investigate the clinical features of acute myocardial infarction (AMI) complicated with ventricular septal perforation (VSR) and provide evidence for the early diagnosis and treatment of this complication. Methods The clinical data of 3 patients with ventricular septal perforation were retrospectively analyzed. Results Patients 65 years of age or older with extensive anterior myocardial infarction were the first to develop a high risk population of interventricular septum perforations. Even in patients with early PCI revascularization, within 1 week should be wary of the occurrence of the complication. Conclusion Comprehensive and detailed cardiac auscultation is the key to early detection of this complication. Early echocardiography is an effective way to diagnose this complication early. Active and effective medical comprehensive treatment and surgical treatment can reduce mortality.