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本文报告尸检的心脏破裂20例,并复习文献1,200例,说明心脏破裂比想像的多,而且有可能治疗。临床征像本文只讨论心肌梗死所致的心脏破裂。破裂发生的时间,Maher等报告50％以上在梗死后5天之内,作者观察20例心脏破裂发生于梗死后1～21天(50％在4天内,87％在14天内)。破裂口似撕破的裂缝,呈直线状或三角状,经常是内膜口小于外膜口,心肌内通道迂曲,且有出血,外膜口2～3厘米。据多数报告前壁破裂最多,但也有认为后壁、侧壁同样多见,甚至后壁更为常见的资料。本组前壁和后壁破裂各占35％;侧壁占20％;心尖占10％。有人认为侧壁心肌梗死发病率较低而破裂的发生率都较高,
This article reports an autopsy of 20 cases of cardiac rupture and reviews of 1,200 cases of evidence of heart rupture more than imagined and potentially therapeutic. Clinical Signs This article discusses only myocardial infarction caused by heart rupture. In the time of rupture, Maher et al reported more than 50% within 5 days after infarction. The authors observed that 20 cases of cardiac rupture occurred 1 to 21 days after infarction (50% within 4 days and 87% within 14 days). Ruptured mouth like torn tear, was linear or triangular, often less than the endometrial orifice of the outer membrane, intracranial tortuous channels, and bleeding, the outer membrane orifice of 2 to 3 cm. Most reports have reported the most rupture of the anterior wall, but there are also sources of information that suggest that the posterior and lateral walls are more common and even the posterior. The anterior and posterior wall of the group rupture of each 35%; side wall accounted for 20%; apical 10%. Some people think that the incidence of side wall myocardial infarction is lower and the incidence of rupture are higher,