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急性心肌梗塞(AMI)合并室间隔穿孔(VSP)的发病率较低,约为1％～2％,现报道4例。本病死亡率很高,应尽早明确诊断,及时救治可改善预后。 例1:男,50岁。因急性前壁心肌梗塞入院。患者在AMI后第7天因便秘排便后自觉胸闷气短,当时查体血压10.7/7.3kPa(80/50mmHg),听诊于胸骨左缘第4肋间闻及Ⅳ级全收期杂音(入院时心前区无杂音),以后双肺可闻及细湿啰音。既往有13年的高血压病史。二维超声心动图(Doppler UCG)有VSP 9mm及室水平左至右分流。室间隔向两侧膨出,但以右室面为主,
Acute myocardial infarction (AMI) combined with ventricular septal perforation (VSP) the incidence of low, about 1% to 2%, 4 cases were reported. The mortality of this disease is very high, as soon as possible a clear diagnosis, timely treatment can improve the prognosis. Example 1: Male, 50 years old. Acute anterior myocardial infarction admission. Patients in the first 7 days after AMI constipation defecation conscious chest tightness, shortness of breath, then check the blood pressure 10.7 / 7.3kPa (80 / 50mmHg), auscultation in the left sternal fourth intercostal smell and the level of the fourth full tune murmurs No noise in the anterior region), after the lungs can be heard and fine wet rales. Past history of 13 years of hypertension. Two-dimensional echocardiography (Doppler UCG) with VSP 9mm and ventricular horizontal left to right shunt. Ventricular septum bulging to both sides, but mainly to the right ventricular surface,