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[心肌再灌注所致出血性梗死。4例报告]

[Hemorrhagic infarction due to myocardial reperfusion. Report of 4 cases].

作者信息

Dallan L A, de Oliveira S A, Lavitola P, Verginelli G, Jatene A D

机构信息

Instituto do Coração do Hospital das Clínicas da FMUSP.

出版信息

Arq Bras Cardiol. 1990 Feb;54(2):127-32.

PMID:2260937
Abstract

Four different clinical cases in which the myocardial reperfusion occurred after acute myocardial infarction, and was followed by significant hemorrhagic ventricular damage. We discuss some possible etiologic mechanism of the problem and present some methods of myocardial protection which are meant to lessen those negative effects of the reperfusion. We conclude setting the difficulty to determine the critical moment after which the myocardial reperfusion turns inefficient or even harmful.

摘要

四个不同的临床病例,其中急性心肌梗死后发生心肌再灌注,并随后出现显著的出血性心室损伤。我们讨论了该问题一些可能的病因机制,并提出了一些心肌保护方法,旨在减轻再灌注的那些负面影响。我们得出结论,确定心肌再灌注变得无效甚至有害的关键时刻存在困难。

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