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剖宫产术后冠状动脉痉挛所致急性心肌梗死

[Acute myocardial infarction due to coronary artery spasm after caesarean section].

作者信息

Ichiba Toshihisa, Nishie Hiroyuki, Fujinaka Waso, Tada Keiichi

机构信息

Department of Anesthesiology and Intensive Care, Hiroshima City Hospital, Hiroshima 730-8518.

出版信息

Masui. 2005 Jan;54(1):54-6.

Abstract

We experienced acute myocardial infarction due to coronary artery spasm after caesarean section. A 41-year-old multigravida woman with no previous cardiac history or coronary risk factor developed acute myocardial infarction after caesarean section, and was successfully resuscitated with emergency percutaneous transluminal coronary angioplasty. Acute myocardial infarction during pregnancy and postpartum period is a rare event, but could be associated with high mortality if it occurs. It is necessary to consider the possibility of acute myocardial infarction and provide early diagnosis and treatment by multidisciplinary team when a pregnant woman complains of retrosternal chest pain.

摘要

我们经历了剖宫产术后因冠状动脉痉挛导致的急性心肌梗死。一名41岁的经产妇,既往无心脏病史及冠状动脉危险因素,在剖宫产术后发生急性心肌梗死,并通过紧急经皮冠状动脉腔内血管成形术成功复苏。妊娠和产后期发生急性心肌梗死是一种罕见事件,但一旦发生可能伴有高死亡率。当孕妇主诉胸骨后胸痛时,有必要考虑急性心肌梗死的可能性,并由多学科团队进行早期诊断和治疗。

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