Kendall R W, DeWood M A
Ann Thorac Surg. 1978 Apr;25(4):311-5. doi: 10.1016/s0003-4975(10)63547-3.
Cardiac rupture following myocardial infarction has been reported as the cause of 4 to 24% of all infarction deaths. The rupture may occur from a few hours to several days after the myocardial infarction and is not a true "blowout" but rather a necrotic hemorrhagic area in the center of the infarction that extravasates blood and leads to pericardial tamponade. The most common findings when rupture occurs are renewed chest pain, bradycardia, and shock. Two patients with postinfarction myocardial rupture who were operated on successfully are reported. With prompt diagnosis and treatment, more of these patients would survive long enough to undergo operation. With cardiopulmonary bypass the repair of these ruptures is not difficult.
心肌梗死后心脏破裂据报道占所有梗死死亡病例的4%至24%。破裂可能发生在心肌梗死后数小时至数天，并非真正的“爆裂”，而是梗死灶中央的坏死出血区，血液外渗导致心包填塞。破裂发生时最常见的表现是再次出现胸痛、心动过缓和休克。本文报道了2例心肌梗死后心脏破裂患者成功接受手术的病例。如果能及时诊断和治疗，更多此类患者将存活足够长时间以接受手术。在体外循环下修复这些破裂并不困难。
