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室间隔破裂(Ventricular septal rupture,简称VSR)是急性心肌梗塞(AMI)的一种少见而严重的并发症。近年我们收治1例,现结合文献复习如下。 1.病例介绍 患者女,56岁。胸骨后压榨性疼痛3h急诊入院。有高血压病史6年。查体:T 36.8℃,BP 24/16kPa。神清,心界向左下扩大,心率76次/分,律齐,A_2>P_2,早搏8次/分,无杂音。血象:WBC13.3×10~9/L,N 0.84,L 0.15,M 0.01。电解质、肝肾功能正常。心肌酶入院后逐渐升高。心电图检查:V_1～V_4ST段弓背上抬呈单向曲
Ventricular septal rupture (VSR) is a rare and serious complication of acute myocardial infarction (AMI). In recent years, we admitted to a case, are now combined with the literature review as follows. 1. Case description Female patient, 56 years old. Post-sternal pain 3h emergency admission. Hypertensive history of 6 years. Physical examination: T 36.8 ℃, BP 24 / 16kPa. Divine, heart widening to the left, heart rate 76 beats / min, law Qi, A_2> P_2, premature beats 8 beats / min, no noise. Blood: WBC13.3 × 10 ~ 9 / L, N 0.84, L 0.15, M 0.01. Electrolyte, liver and kidney function is normal. Myocardial enzyme gradually increased after admission. ECG examination: V_1 ~ V_4ST section of the bow raised unidirectional curvature