急性心肌梗死合并左心室血栓的研究现状

Research Status of Left Ventricular Thrombus in Acute Myocardial Infarction

左心室血栓形成是急性心肌梗死严重的并发症之一,尤其在急性前壁心肌梗死中的发生率更高,栓子脱落后主要可使体循环动脉栓塞,可引起脑、脾和肾等重要脏器功能障碍及肢体功能障碍而产生严重后果。因此,如何预防、早期诊断左心室血栓形成及防治不良后果,在临床医疗有重要意义。现对急性心肌梗死合并左心室血栓形成的研究状况做一综述。

Left ventricular thrombus formation is one of the most devastating complications of acute myocardial infarction, especially in acute anterior myocardial infarction. The clinical importance of left ventricular thrombus is its potential to embolism, causing embolization in systemic circulation, which may results in severe consequence of dysfunction in brain, kidney, spleen and limb. Therefore, it is of extraordina- ry significance to evaluate the protective and risk factors, the timely diagnosis of left ventricular thrombus formation, as well as the treatment and prevention of the dangerous outcome of left ventficular thrombus in clinical practice. This article reviews the current research of left ven- tricular thrombus in acute myocardial infarction.