急性心肌梗死并发心脏游离壁破裂的临床特点
摘要
心脏破裂是急性心肌梗死最严重的并发症之一,随着急诊再灌注治疗特别是急诊经皮冠状动脉介入(PCI)手术的广泛开展,急性心肌梗死并发心脏破裂发生率有所下降[1]。心脏破裂,尤其是一旦发生心脏游离壁破裂,抢救手段十分有限,死亡率几乎达到100%。尽早识别心脏破裂高危患者并采取相应治疗措施至关重要。本文分析比较急性心肌梗死并发心脏破裂患者和不合并心脏破裂患者的临床资料,探讨心脏破裂的危险因素,现报道如下。
出处
《心电与循环》
2014年第3期238-240,共3页
Journal of Electrocardiology and Circulation
参考文献11
-
1张海涛.针对STEMI缩小心肌梗死面积的再灌注辅助治疗——介绍与回顾[J].心电与循环,2013,32(5):345-349. 被引量:2
-
2Markowicz-Pawlus E,Nozynski J,Sedkowska A. Cardiac rupture risk estimation in patients with acute myocardial infarction treated with percutaneous coronary intervention[J].Cardiol J,2007,(06):538-543.
-
3Figueras P J,Alcalde O,Barrab s J A. Changes in hospital mortality rates in 425 patients with acute ST-Elevation myocardial infarction and Cardiac Rupture Over a 30-Year[J].CIRCULATION,2008,(25):2783-2789.
-
4Lagrand W K,Niessen H W,Wolbink G J. C-reactive protein colocalizes with complemet in human hearts during acute myocardial infarction[J].CIRCULATION,1997,(01):97-103.
-
5Ueda S,Ikeda U,Yamamoto K. C-reactive protein as a predictor of cardiac rupture after acute myocardial infarction[J].American Heart Journal,1996,(05):857-860.
-
6Schwertner H A,Jackson W G,ToIan G. Association of Low Serum Concentration of Bilirubin with Increased Risk of Coronary Artery Disease[J].Clinical Chemistry,1994,(01):18-23.
-
7Hopkins P H,Wu L L,Hunt S C. Higher serum bilirubin is associated with decreased risk for early familial coronary artery disease[J].Arteriosclerosis Thrombosis and Vasoular Biology,1996,(02):250-255.
-
8Bosma P J,van der Meer I M,Bakker CT. UGT1A1*28 al ele and coronary heart disease:The Rot erdam Study[J].Clinical Chemistry,2003,(07):1180-1181.
-
9Endler G,Hamwi A,Sunder-Plassmann R. Is low serum bilirubin an independent risk factor for coronary artery disease in men but not in women[J].Clinical Chemistry,2003,(07):1201-1204.
-
10Breimer L H,Wannamethee G,Ebrahim S. Serum bilirubin and risk of ischemic heart disease in middle-aged british men[J].Clinical Chemistry,1995,(10):1504-1508.
-
1蒋苏虹,杨磊,李化勇.急性心肌梗死并发心脏游离壁破裂的防治[J].实用全科医学,2004,2(3):238-239. 被引量:2
-
2张月军,杨磊,徐欣,杨承健.急性ST段抬高心肌梗死24h内死亡原因分析[J].临床心血管病杂志,2010,26(11):814-815. 被引量:2
-
3刘春雪,王兴萍,李榕彬,钱赓.急性心肌梗死并发心脏游离壁破裂诱因的分析和护理干预[J].解放军护理杂志,2012,29(1):45-46. 被引量:4
-
4王萍,王宇朋.心脏游离壁破裂抢救成功1例[J].中国实验诊断学,2005,9(2):288-288.
-
5陈治奎,姜庆军,岑泽民,徐卫峰,周建庆.老年心肌梗死后心脏游离壁破裂的临床特点及相关因素分析[J].心电与循环,2015,34(3):165-168. 被引量:2
-
6王本臻,泮思林,邴振.体外膜肺氧合在儿童重症心肌炎中的应用进展[J].中华儿科杂志,2016,54(4):307-310. 被引量:2
-
7朱桂华,叶桦,李先维.院前急救在高血压急症患者抢救过程中的临床应用[J].医药论坛杂志,2014,35(5):114-115. 被引量:4
-
8高凤玲.无创正压通气治疗重症支气管哮喘临床观察[J].中国误诊学杂志,2010,10(34):8351-8351. 被引量:2
-
9谢鎏晖,彭琛,徐庚许,蔡剑玲,何月英.梗死前心绞痛在未行血运重建的急性心肌梗死患者中的临床意义[J].中国现代医生,2013,51(35):144-145.
-
10陈治奎,姜庆军,胡万英,周军波,葛世俊,周建庆.急性心肌梗死并发心脏游离壁破裂的临床特点[J].心脑血管病防治,2015,15(4):303-304. 被引量:1