摘要
本文报告１７例心肌梗死后室间隔破裂，其中９例死亡。７例手术患者中，除１例手术死亡外，６例手术治行效果满意。文中对其常见临床诊断特点进行了分析讨论，并阐述了行之有效的诊断方法。同时认为内科药物治疗及主动脉内球囊反搏术辅助只能在一定程度上缓解衰竭的心脏，外科手术修补室间隔破裂口是唯一的最佳治疗方法。
Seventeen patients with postinfarction ventricular septal rupture were admitted from April 1984 to November 1992, among them 9 died with a mortality of 53%. 7 of the patients were operated with 1 death, and the effect of surgery of the remaining was satisfactory. The diagnostic criteria and effective surgical measures were discussed. Medical therapy for postinfarction ventricular septal rupture is only palliative. Intra-aortic balloon pumping to reduce the resistance to left ventricular ejection may be used as a preoperative adjunctive device. Operative repair of the ventricular septal rupture is the best procedure to be taken. (Department of Cardiology, Surgery, Air Force Beijing Hospital, Beijing)
出处
《中国循环杂志》
CSCD
1995年第7期386-388,共3页
Chinese Circulation Journal
