急性正后壁心肌梗死并发心脏破裂后存活1例

1 survival case of acute posterior wall myocardial infarction complicated with cardiac rupture

目的:根据1例急性正后壁心肌梗死并发心脏破裂患者的临床病例报告,分析该疾病的临床症状即治疗效果。方法:选取本院2017年1月15日收治的1例急性正后壁心肌梗死并发心脏破裂患者作为观察对象,整理其临床症状,对其予以抢救和冠状动脉造影术+支架植入术治疗。结果:该患者经过21d临床治疗后各项临床症状均有所缓解或者消失,临床将患者利尿药物减量后为患者办理出院手续,要求患者于1周后进行复查。结论:急性正后壁心肌梗死并发心脏破裂患者临床会出现持续性、压榨性疼痛,满肺闻及干、湿啰音,肌钙蛋白与心肌酶均偏高,临床予以抢救和冠状动脉造影术+支架植入术治疗后,患者临床症状能够得到有效缓解,表示该治疗方法具有较好治疗效果。

Objective: The clinical symptoms and the curative effect were analyzed according to clinical report of 1 case of acute posterior wall myocardial infarction complicated with cardiac rupture. Methods: 1 case of acute posterior wall myocardial infarction complicated with cardiac rupture treated in our hospital on January 15, 2017 was selected as the research subject, the clinical symptoms were summarized, coronary angiography and stent implantation were applied for rescue work. Results: The clinical symptoms were relieved or disappeared after 21 days of clinical treatment, the patient was discharged after the clinical reduction of diuretic drugs and rechecked 1 week later. Conclusion: Patients with acute posterior wall myocardial infarction complicated with cardiac rupture would suffer from persistent, pressing pain, the lungs were full of pulmonary rales, troponin I and myocardial enzyme were high. After the clinical rescue of coronary angiography and stent implantation treatment, the clinical symptoms could be effectively relieved, with a better treatment effect.