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亚急性室壁破裂指急性心肌梗塞后心室游离壁破裂而未发生猝死。如诊断及时则可行手术修补,能作出心室破裂诊断的很少,不同诊断标准的准确性未知,因此,我们前瞻性研究临床,血流动力学和超声心动图诊断亚急性室壁破裂标准的敏感性和特异性。方法:调查1984年6月～1989年1月确诊AMI患者1457例,已剔除既往有手术史、瓣膜病,原发性心肌病和心包疾病者。86例心超资料不全。95例未做尸体解剖,29例尸解后证实心脏破裂这些在资料分析时剔除。A组为33例手术证实亚急性室壁破裂,B组为1 214例没有室壁破裂。A组均作3wan-Ganr导管检查,B组681例有指征者均作
Subacute rupture of the wall refers to rupture of the ventricular free wall after acute myocardial infarction without sudden death. If the diagnosis is timely and feasible surgical repair, can make a small diagnosis of ventricular rupture, the accuracy of different diagnostic criteria is unknown, therefore, our prospective clinical, hemodynamic and echocardiographic diagnosis of subacute rupture of the standard wall sensitivity Sexual and specific. Methods: A total of 1,457 AMI patients diagnosed from June 1984 to January 1989 were excluded from the previous history of surgery, valvular disease, primary cardiomyopathy and pericardial disease. 86 cases of ultrasonographic data incomplete. 95 cases without autopsy, 29 cases of autopsy confirmed heart rupture These were excluded in the data analysis. A group of 33 cases of surgery confirmed subacute rupture of the wall, B group of 1 214 cases without rupture of the wall. A group were 3wan-Ganr catheter examination, B group 681 cases were indications were made