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急性心肌梗死介入治疗后心脏破裂一例

刘迎午   

  1. 天津市第三中心医院
  • 收稿日期:2010-08-13 修回日期:2011-04-12 出版日期:2011-09-15 发布日期:2011-09-15
  • 通讯作者: 刘迎午

learning from a case of cardiac rupture after primary percutaneous coronary intervention

Ying-Wu Liu   

  • Received:2010-08-13 Revised:2011-04-12 Published:2011-09-15 Online:2011-09-15
  • Contact: Ying-Wu Liu

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摘要： 冠脉介入治疗中出现的急性心包填塞最多见的原因是冠状动脉穿孔，要求介入医生尽早识别，予以紧急处理。但近来的一些文献报道了急性心肌梗死介入治疗时会出现心脏破裂，也同样造成心包填塞的并发症。2010年3月，我院一例再发前壁心肌梗死患者，行紧急介入治疗后，患者出现心包填塞，经紧急心包穿刺抽积液，效果不好，外科紧急开胸后发现是心肌梗死后心脏破裂，现将患者的情况和治疗经过做一总结，使介入医生了解心肌梗死后心脏破裂的可能性并及时救治。

关键词: 急性, 心肌梗死, 介入治疗, 心脏破裂

Abstract: Acute pericardial tamponade during percutaneous coronary intervention was usually caused by coronary artery perforation which requires cardiologist to identify and treat as soon as possible. Recently, many cases of pericardial tamponade caused by cardiac rupture were reported, which often occurred unexpectedly. A case of cardiac rupture after successful PCI with myocardial reinfarction is herein reported in order to remind physician this possibility and rescure the patient promptly.

Key words: acute, myocardial infarction, interventional therapy, cardiac rupture