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急性心肌梗死使儿童扩张型心肌病的临床病程复杂化。

Acute myocardial infarction complicating the clinical course of dilated cardiomyopathy in childhood.

作者信息

Simões M V, Félix P R, Marin-Neto J A

机构信息

Department of Internal Medicine, Hospital de Clínicas, Medical School of Ribeirão Preto, University of São Paulo, Brazil.

出版信息

Chest. 1992 Jan;101(1):271-2. doi: 10.1378/chest.101.1.271.

DOI:10.1378/chest.101.1.271
PMID:1729085
Abstract

An acute myocardial infarction occurred in a 6-year-old child with dilated cardiomyopathy. This caused severe hemodynamic deterioration that led to a fatal outcome. Autopsy revealed diffuse myocardial atrophy without cell infiltrate, normal epicardial coronary arteries, and a massive healed anteroapical infarction. Coronary embolism or spasm could not be ruled out as the cause of the infarction.

摘要

一名患有扩张型心肌病的6岁儿童发生了急性心肌梗死。这导致了严重的血流动力学恶化,最终导致致命后果。尸检显示弥漫性心肌萎缩,无细胞浸润,心外膜冠状动脉正常,以及大面积愈合的前壁心尖梗死。不能排除冠状动脉栓塞或痉挛是梗死的原因。

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