急性心肌梗死并发心脏破裂6例临床分析

Clinical analysis of 6 cases of acute myocardial infarction combined with cardiac rupture

目的:探讨和分析急性心肌梗死并发心脏破裂的危险因素、发病规律、早期诊断、临床表现及防治措施。方法:根据临床表现,并通过心包穿刺或心脏超声,6例患者被确诊为急性心肌梗死并发心脏破裂。结果:6例心脏破裂患者呼吸心跳停止,心脏按摩、高级心肺复苏无效。结论:心脏破裂多发生于高血压、老年高龄、心绞痛剧烈反复发作的患者,用力排便、咳嗽、情绪因素也可导致心脏破裂。急性前壁心肌梗死、透壁性心肌梗死最易并发心脏破裂。

Objective:To explore and analyze the risk factors,pathogenesis regularity,early diagnosis,clinical manifestations and prevention measures of acute myocardial infarction combined with cardiac rupture.Methods:According to the clinical manifestations,and through the pericardial puncture or echocardiography,6 patients were diagnosed as acute myocardial infarction combined with cardiac rupture.Results:6 patients with cardiac rupture had stopped heart and breathing,the cardiac massage and advanced cardiopulmonary resuscitation were invalid.Conclusion:Cardiac rupture occurres in patients with hypertension,elder, acute recurrent angina pectoris,forced defecation,cough,emotional factors can also lead to cardiac rupture.Acute anterior wall myocardial infarction,transmural myocardial infarction are most easily combined with cardiac rupture.