摘要
本文旨在探讨心肌梗塞后室壁瘤的致死因素。室壁瘤59例,其中病理组27例,临床组32例。主要累及左室前壁。病理组单支、双支及三支冠状血管病变分别占10/27(37.0%)、9/27(33.3%)和8/27(29.7%)。重要的致死因素是泵衰竭、室颤和心脏破裂,分别占40.7%、33.3%和22.2%。临床组与病理组的临床特征及致死因素相比,无显著性差异。本文着重讨论致死因素发生机制,并指出消除致死因素是改善预后的关键。
This article aimed on analyzing the causes of death of ventricular aneurysm resulting from myocardial infarction,including 27 autopsied cases of ventricular aneurysm in the pathological group and 32 cases in the clinical group. The incidence of aneurysm was 27.3% among 99 autopsies cases of myocardial infarction and the anterior wall of the left ventricle was most frequently involved. Lesions of single, double and triple branches of the coronary arteries in the pathological group were found in 10 (37.0%), 9 (33.3%)and 8 cases (29.7%), respectively. The main causes of death of ventricular aneurysm were pump failure, ventricular fibrillation and cardiac rupture with frequencies of 40.7%, 33.3% and 22.2%, respectively. There was no significant difference in the clinical features be- tween the pathological and clinical groups.
出处
《中国循环杂志》
CSCD
1993年第7期400-402,共3页
Chinese Circulation Journal
关键词
室壁瘤
心肌梗塞
泵衰竭
心律失常
Ventricular aneurysm
Myocardial infarction
Pump failure
Arrhythmia
Cardiac rupture
