经皮冠状动脉介入治疗后并发重症肺炎、急性心肌梗死伴心包炎：一例报告
Severe pneumonia and acute myocardial infarction complicated with pericarditis after percutaneous coronary intervention: A case report.
作者信息
Liu Wei-Chao, Li Shun-Bao, Zhang Chen-Feng, Cui Xiang-Hui
机构信息
The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, Baoding 071000, Hebei Province, China.
出版信息
World J Clin Cases. 2022 Apr 6;10(10):3222-3231. doi: 10.12998/wjcc.v10.i10.3222.
BACKGROUND
Cases of severe pneumonia complicated with acute myocardial infarction (AMI) with good prognosis after percutaneous coronary intervention (PCI) are rare, especially those with postoperative pericarditis and intestinal obstruction.
CASE SUMMARY
A 53-year-old male patient was admitted to the emergency department of our hospital because of paroxysmal chest tightness for 4 d, aggravated with chest pain for 12 h. The symptoms, electrocardiography, biochemical parameters, echocardiography and chest computed tomography confirmed the diagnosis of severe pneumonia complicated with AMI. The patient was treated with antiplatelet aggregation, anticoagulation, lipid regulation, vasodilation, anti-infective agents and direct PCI. The patient was discharged after 3 wk of treatment. Follow-up showed that the patient was asymptomatic without recurrence.
CONCLUSION
For patients with severe pneumonia complicated with AMI, PCI and antibiotic therapy is a life-saving strategy.
背景
严重肺炎合并急性心肌梗死（AMI）患者经皮冠状动脉介入治疗（PCI）后预后良好的病例罕见，尤其是术后并发心包炎和肠梗阻的患者。
病例摘要
一名53岁男性患者因阵发性胸闷4天，加重伴胸痛12小时入住我院急诊科。症状、心电图、生化指标、超声心动图和胸部计算机断层扫描确诊为严重肺炎合并AMI。患者接受了抗血小板聚集、抗凝、调脂、血管扩张、抗感染药物及直接PCI治疗。治疗3周后出院。随访显示患者无症状且未复发。
结论
对于严重肺炎合并AMI患者，PCI和抗生素治疗是挽救生命的策略。
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