天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (11): 1149-1152.doi: 10.11958/20170763

• 专题-心肌梗死 • 上一篇    下一篇

急性心肌梗死后室间隔穿孔的特点及治疗进展

邵滢，刘寅   

  1. 天津市胸科医院心内科
  • 收稿日期:2017-06-29 修回日期:2017-09-18 出版日期:2017-11-15 发布日期:2017-11-15
  • 通讯作者: 刘寅 E-mail:liuyin2088@163.com
  • 基金资助:
    天津市科技重大专项与工程项目（16ZXMJSY00150）；天津市卫生行业重点攻关项目（16KG131）

The characteristics and progress of treatment in ventricular septum rapture after acute#br# myocardial infarction#br#

SHAO Ying,LIU Yin   

  1. Department of Cardiology, Tianjin Chest Hospital
  • Received:2017-06-29 Revised:2017-09-18 Published:2017-11-15 Online:2017-11-15

PDF (PC)

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摘要： 在经皮冠状动脉介入治疗（PCI）时代，急性心肌梗死（AMI）后室间隔穿孔（VSR）的发生率越来越低，但病死率仍然很高。及时的诊断和外科手术仍然是治疗的首选。对于病情稳定的患者来说，延迟手术可能效果更好。内科保守治疗通常是无效的，使用机械支持来为延迟手术提供手术时机是很好的选择，但是缺少循证医学的证据。对于急性期且不能耐受外科手术的患者来说，VSR 的介入封堵可作为减少分流的另一种措施。

关键词: 心肌梗死, 室间隔破裂, 经皮介入封堵治疗

Abstract: As the development of percutaneous coronary intervention (PCI), the incidence of ventricular septum rapture(VSR) after acute myocardial infarction (AMI) is getting lower and lower, but the mortality is still high. Promptly diagnosis and surgery are still the first choose for treatment. Delay surgery may bring better result for patients with stable conditions.Internal medicine treatment is usually useless, and mechanical support may offer chance of delay surgery. Percutaneous interventional closure can reduce shunt for patients who are not able to tolerate surgery in the acute phase.

Key words: myocardial infarction, ventricular septal rupture, percutaneous interventional closure

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