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一种可治疗的病症:心肌梗死急性期心脏壁破裂。关于又一例经手术成功治疗的病例

[A treatable condition: parietal rupture of the heart during the acute phase of myocardial infarct. Apropos of a further case treated successfully with surgery].

作者信息

Eisenmann B, Bareiss P, Pacifico A D, Jeanblanc B, Kretz J G, Baehrel B, Warter J, Kieny R

出版信息

Arch Mal Coeur Vaiss. 1978 Jul;71(7):750-5.

PMID:102275
Abstract

A man aged 62 had an unexpected anterior myocardial infarction, complicated during the thirteenth hour after onset by parietal rupture and consequent acute tamponnade. The diagnosis was confirmed by echocardiography and then by pericardial puncture which allowed enough time for an operation to be undertaken under extra-corporeal circulation. The infarct was resected together with the weakened area of rupture, and the quality of the patient's life has been maintained at an excellent level after one year.

摘要

一名62岁男性突发前壁心肌梗死,发病后第13小时并发心包破裂及急性心包填塞。经超声心动图确诊,随后通过心包穿刺得以争取足够时间在体外循环下进行手术。梗死灶连同破裂的薄弱区域一并切除,术后一年患者生活质量维持在极佳水平。

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