急性心肌梗死并发心室游离壁破裂临床特点

Clinical experiences of AMI in combination with ventricular free wall rupture in 20 cases

目的探讨急性心肌梗死并发心室游离壁破裂的危险因素及防治经验。方法对20例急性心肌梗死并发心室游离壁破裂患者的临床特点进行回顾性分析。结果20例患者中死亡19例,1例急诊外科手术存活。结论预防急性心肌梗死并发心室游离破裂的关键在于早期识别、减少危险因素,加强防治。

Objective To evaluate the risk factors and preventive - curative experiences of ventricular free wall rupture caused by acute myocardial infarction（AMI）. Methods A retrospective analysis was conducted on the clinical features of twenty patients who were diagnosed as AMI in combination with ventricular free wall rupture. Results Among the twenty patients, ninteen patients died and one patient survived by emergency operation. Conclusions The key of preventing ventrieular free wall rupture in AMI is early identifying and reducing risk factors , effective prevention and treatment.