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术中急性心肌梗死后心室破裂的外科治疗意义

Surgical implications of intraoperative postinfarction ventricular rupture.

作者信息

Edwards F H, Albus R A, Graeber G M, Besch G A

出版信息

Chest. 1986 May;89(5):754-6. doi: 10.1378/chest.89.5.754.

DOI:10.1378/chest.89.5.754
PMID:3698709
Abstract

This case report documents that ventricular myocardial rupture after acute infarction may seal with clot, only to rupture again with potentially lethal consequences. At exploration, the clot over a fresh rupture was intact. As closure was started, the clot disrupted, causing severe hemorrhage. Rupture was successfully repaired and the patient survived.

摘要

本病例报告记录了急性心肌梗死后心室肌破裂可能因血栓形成而暂时封闭,但随后可能再次破裂并导致潜在的致命后果。在手术探查时,新破裂处的血栓完整。在开始修复时,血栓破裂,导致严重出血。破裂最终成功修复,患者得以存活。

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