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目的：提高急性心肌梗塞（ＡＭＩ）后室间隔穿孔（ＶＳＲ）的救治水平。方法：分析１９９０年４月～１９９４年１２月收治７例ＡＭＩ后ＶＳＲ资料。结果：ＡＭＩ后ＶＳＲ的发生率为１．４％（７／５０２），７例中２４ｈ内死亡３例，４例拟行外科手术，其中２例在术前死亡；２例行室间隔修补、室壁瘤切除及冠状血管重建术，术后１例死于急性肾功能衰竭，１例随访３ａ，心功能Ｉ级。结论：心电图、超声心动图和心导管资料有助于判断病情和预后，应根据血液动力学状态决定治疗方案或手术时机。
Objective: To improve the treatment of ventricular septal perforation (VSR) after acute myocardial infarction (AMI). Methods: From April 1990 to December 1994, 7 patients with AMI were retrospectively analyzed. Results: The incidence of VSR after AMI was 1.4% (7/502). In 7 cases, 3 cases were dead in 24h and 4 cases were performed surgeries. Two cases died preoperatively, 2 cases had interventricular septum repair, Removal of aneurysm and reconstruction of coronary artery, 1 patient died of acute renal failure, 1 case of follow-up 3a, cardiac function class I. CONCLUSIONS: ECG, echocardiography and cardiac catheterization help determine disease status and prognosis, and should be based on hemodynamic status to determine the timing of treatment or surgery.