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急性心肌梗死并发室间隔穿孔的临床特点及治疗现状 被引量：1

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摘要 急性心肌梗死（心梗）（acute myocardial infarction,AMI）并发室间隔穿孔（ventricular septal rupture,VSR）是一少见而凶险的并发症,常发生在AMI后的1周内[1]。由于突发的心室水平左向右分流,往往迅速出现心力衰竭、心源性休克等,内科保守治疗病死率极高、预后差。近年来在治疗方法的选择方面积累了一定的经验,本文对此进行简要的综述。
作者 倪飞华 白元 吴峰 秦永文
机构地区 上海长海医院心血管内科
出处 《内科理论与实践》 2013年第4期294-297,共4页 Journal of Internal Medicine Concepts & Practice
关键词 冠心病 急性心肌梗死 室间隔穿孔 治疗
分类号 R542.22 [医药卫生—心血管疾病]
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参考文献32

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  • 2Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (global utilization of streptokinase and TPA for occluded coronary arteries) trim investigators [J]. Circulation, 2000,101(1): 27-32.
  • 3Yip HK, Fang CY, Tsai KT, et al. The potential impact of primary percutaneous coronary intervention on ventricular septal rupture complicating acute myocardial infarction [J]. Chest, 2004,125(5): 1622-1628.
  • 4Menon V, Webb JG, Hillis LD, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK trial registry. Should we emergently revascularize occluded coronaries in cardiogenic shock?[J]. J Am Coil Cardiol, 2000, 36(3 Suppl A): 1110-1116.
  • 5Birnbaum Y, Fishbein MC, Blanche C, et al. Ventricular septal rupture after acute myocardial infarction [J]. N Engl J Med, 2002, 347(18):1426-1432.
  • 6郭远林,姚民,陈纪林,吴元,邱洪.急性心肌梗死并发室间隔破裂的临床特征及冠状动脉造影特点分析[J].中华心血管病杂志,2005,33(8):708-712. 被引量：22
  • 7Jeppsson A, Liden H, Johnsson P, et al. Surgical repair of post infarction ventricular septal defects: a national experi- ence [J]. Eur J Cardiothorac Surg, 2005,27(2):216-221.
  • 8Ozkara A, Cetin G, Mert M, et al. Postinfarction ventricular septal rupture: surgical intervention and risk factors influencing hospital mortality [J]. Acta Cardiol, 2005,60(2):213-217.
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二级参考文献14

  • 1范军强,陈如坤,董爱强,赵百亲,张赛,程海峰,吴明,沈钢.主动脉内球囊反搏在体外循环心脏手术后重症患者中的应用[J].中华急诊医学杂志,2006,15(8):759-760. 被引量：6
  • 2赵铁夫,马涵英,孟旭,张维君.心脏手术围术期主动脉内球囊反搏的应用[J].中华胸心血管外科杂志,2006,22(4):225-227. 被引量：37
  • 3Rhydwen GR, Charman S, Schofield PM. Influence of thrombolytic therapy on the patterns of ventricular septal rupture after acute myocardial infarction. Postgrad Med J, 2002, 78:408-412.
  • 4Yip HK, Fang CY, Tsai KT, et al. The potential impact of primary percutaneous coronary intervention on ventricular septal rupture complicating acute myocardial infarction. Chest, 2004, 125:1622-1628.
  • 5Birnbaum Y, Fishbein MC, Blanche C, et al. Ventricular septal rupture after acute myocardial infarction. N Engl J Med, 2002, 347:1426-1432.
  • 6Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarctioninfarction: GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) trial investigators. Circulation, 2000, 101:27-32.
  • 7Parro A Jr, Carlos Da Silveira L, Francischetti A, et al. Echocardiographic features of ventricular septal rupture with right ventricular aneurysm after acute myocardial infarction. Echocardiography, 1996, 13:303-308.
  • 8Pretre R, Rickli H, Ye Q, et al. Frequency of collateral blood flow in the infarct-related coronary artery in rupture of the ventricular septum after acute myocardial infarction. Am J Cardiol, 2000, 85: 497-499.
  • 9Ozkara A, Cetin G, Mert M, et al. Postinfarction ventricular septal rupture: surgical intervention and risk factors influencing hospital mortality. Acta Cardiol, 2005, 60:213-217.
  • 10Dalrymple-Hay MJ, Monro JL, Livesey SA, et al. Postinfarction ventricular septal rupture: the Wessex experience. Seminars in Thoracic and Cardiovascular Surgery, 1998, 10:111-116.

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内科理论与实践
2013年 第4期

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