心肌梗死后室间隔缺损管理中的后负荷降低
Afterload reduction in the management of postinfarction ventricular septal defect.
作者信息
Tecklenberg P L, Fitzgerald J, Allaire B I, Alderman E L, Harrison D C
出版信息
Am J Cardiol. 1976 Dec;38(7):956-8. doi: 10.1016/0002-9149(76)90809-2.
The primary goal in the medical management of ventricular septal defect complicating myocardial infarction is to support cardiac function and control symptoms, if possible, for a period of 4 to 6 weeks. If the patient survives this period, surgical correction of the defect is technically easier and safer. In many cases, However, cardiac function is severly compromised, intractable biventricular failure develops,early operation is necessary and the likelihood of successful repair is diminished.
室间隔缺损合并心肌梗死的内科治疗主要目标是尽可能支持心脏功能并控制症状4至6周。如果患者度过此阶段，缺损的外科矫正在技术上会更容易且更安全。然而，在许多情况下，心脏功能严重受损，出现难治性双心室衰竭，有必要尽早手术，且成功修复的可能性降低。
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