Tuman K J
Department of Anesthesiology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
Semin Thorac Cardiovasc Surg. 1991 Jan;3(1):47-52.
POMI can occur during all types of cardiac surgery, but is most common during coronary artery surgery. Although the causes of POMI are usually multifactorial, an understanding of these causes provides the clinician a better basis for developing strategies to prevent as well as treat this complication. POMI usually results in a benign postoperative course, but can contribute to intra- or postoperative death, postoperative low cardiac output syndrome, as well as diminished long-term exercise tolerance and survival. These latter events highlight the importance of POMI after cardiac surgery and depend on the extent and location of the infarct as well as the functionality of the remaining viable myocardium. Future advances in surgical, medical, and anesthetic management will be necessary to further decrease the incidence and severity of POMI so as to afford patients the best chance of survival and a productive life after heart surgery.
围手术期心肌梗死（POMI）可发生于所有类型的心脏手术中，但在冠状动脉手术中最为常见。尽管POMI的病因通常是多因素的，但了解这些病因能为临床医生制定预防和治疗这一并发症的策略提供更好的依据。POMI通常导致术后病程良性，但可导致术中或术后死亡、术后低心排血量综合征，以及长期运动耐量和生存率降低。这些后期事件凸显了心脏手术后POMI的重要性，且取决于梗死的范围和部位以及剩余存活心肌的功能。未来在手术、药物和麻醉管理方面取得进展对于进一步降低POMI的发生率和严重程度是必要的，以便为患者提供心脏手术后最佳的生存机会和有意义的生活。
