Barasch E, Kaplinsky E, Lavee J
Department of Cardiology, Laniado Hospital, Netanya, Israel.
Isr J Med Sci. 1993 Nov;29(11):700-2.
Rupture of the myocardium in the setting of acute myocardial infarction has a universally grim prognosis. The time that elapses between diagnosis and definitive therapy is the most critical determinant of the patient's outcome when death is not instantaneous. Survivors of this catastrophic event have not been frequently reported. We present a case of free wall left ventricular rupture in a patient with an acute myocardial infarction hospitalized in the Cardiac Care Unit of a small community hospital. The patient was successfully transferred to the referral institution for surgery. Rapid diagnosis, primary bedside therapy, and utilization of new surgical techniques helped obtain a good outcome.
急性心肌梗死时心肌破裂的预后普遍不佳。在并非即刻死亡的情况下，从诊断到最终治疗所经过的时间是决定患者预后的最关键因素。关于这一灾难性事件幸存者的报道并不常见。我们报告一例在一家小型社区医院心脏监护病房住院的急性心肌梗死患者发生左心室游离壁破裂的病例。该患者成功转至转诊机构接受手术。快速诊断、床边初步治疗以及新手术技术的应用有助于取得良好的治疗效果。
