急性心肌梗塞并发心脏破裂11例临床和病理分析

对１１例经尸检证实的急性心肌梗塞并发心脏破裂（其中４例为心室游离窒不完全破裂）进行临床和病理分析，强调对心脏破裂，尤其是心室游离壁不完全破裂，应早期诊断。心室游离壁不完全破裂的临床表现，类似急性心包填塞和心源性休克，患者存活时间可达数小时，如能及时用超声心动图等检查方法尽早明确诊断，部分患者可望获救。文中就静脉溶栓治疗对心脏破裂的可能影响也进行了探讨。

CLINICAL AND PATHOLOGICAL ANALYSES OF CARDIAC RUPTURE IN 11 PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

The clinical and pathological changes of llcases of cardiac rupture after acute myocardial infarction, including 4 cases of incomplete left ventricular free wall rupture were reported. Early diagnosis of cardiac rupture, especially incomplete cardiac rupture was stressed. Incomplete cardiac rupture presents signs and symptoms resembling acute pericardial effusion and cardiogenic shock, and the patients can survive a few hours, which permits additional diagnostic procedures(e. g. echocardiography). Some of the patients might be rescued by surgery. The possible influence of thrombolytic therapy on cardiac rupture following acute myocardial infarction was discussed.