Iung B, Squara P, Fruchaud J, Gallet B, Sollet J P, Saudemont J P, Hiltgen M, Bleichner G
Arch Mal Coeur Vaiss. 1986 Dec;79(13):1951-5.
A case of painless anteroseptal and high lateral wall infarction presenting as cardiogenic shock with pulmonary oedema 24 hours after childbirth complicated by severe post partum haemorrhage with a coagulation defect, is reported. Coronary angiography performed one month later was normal, with a negative ergometrine provocation test. The authors review five previous reports in the medical literature, and discuss the possible physiopathological mechanisms which, alone or in association could have operated in the reported case.
本文报道了一例产后24小时出现无痛性前间隔和高侧壁梗死,表现为心源性休克合并肺水肿,同时伴有严重产后出血及凝血功能缺陷的病例。一个月后进行的冠状动脉造影正常,麦角新碱激发试验结果为阴性。作者回顾了医学文献中之前的五篇报道,并讨论了在所报道病例中可能单独或联合起作用的生理病理机制。