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急性心肌梗塞后发生的室中隔破裂(VSR).占急性心肌梗塞的1.3～6.5%,为一少见的并发症,但其死亡率非常高,89%在两个月内死亡。自Cooley 等首次报道下壁梗塞并发本病手术成功以来已能试用手术修复。但是,其对象大部分是急性期、3～6周内手术的患者。不过,最近提示对急性期半数以上死亡的这种并发症施行急性期手术可能起到挽救生命的作用,目前正在对陷入心源性休克的病例早期施行紧急手术。此时需要早期的正确诊断,但急性期的病例血液动力学不稳定,预测会急剧恶化,故尽可能用非创伤
Ventricular septal rupture (VSR), which occurs after acute myocardial infarction, represents 1.3 to 6.5% of acute myocardial infarction and is a rare complication, but its mortality is very high, with 89% of deaths occurring within two months. Since Cooley et al. First reported that the inferior wall infarction complicated by the successful operation of this disease has been able to try surgical repair. However, most of their subjects are acute and operate within 3 to 6 weeks. However, it has recently been suggested that the acute phase of this complication of more than half of the acute deaths may have life-saving effects and that emergency surgery is being performed early in cardiogenic shock cases. This requires an early diagnosis, but the acute phase of hemodynamic instability, the prognosis will be dramatically deteriorated, so as far as possible with non-invasive