急性心肌梗死合并急性呼吸窘迫综合征的诊断和治疗

目的探讨急性心肌梗死（ＡＭＩ）合并急性呼吸窘迫综合征（ＡＲＤＳ）的临床特点和误诊原因,以提高对其认识和诊断水平。方法结合文献资料回顾性分析３例临床病例。结果２例死亡,１例经溶栓,扩张冠状动脉和ＢｉＰＡＰ通气治疗好转。结论ＡＭＩ合并ＡＲＤＳ虽少见,但确定存在,多数情况下易被误诊为左心衰竭性肺水肿,遇不易鉴别病例需行心导管检查。

Diagnosis and therapy of acute myocardial infarction complicated with acute respiratory distresssyndrome

Objective To investigate the clinical characteristic and the reasons of misdiagnosisof acute myocardial infarction complicated with acute respiratory distress syndrome,and improve thediagnostic approach. Methods To analyse the clinical data of 3 cases retrospectively. Results Twopatients were dead,one was improved by thrombolysis, artery dilation, BiPAP respirator ventilation.Conclusion Although AMI with ARDS is rare.it does exist. It is usually were misdiagnosed as pul-monary edema with left heart failure. Therefore,when differentiative diagnosis is hard to make, thecardiac catherization should be carried.