青岛大学学报(医学版)2024,Vol.60Issue(1) :148-150.DOI:10.11712/jms.2096-5532.2024.60.019

超声诊断心肌梗死后心肌夹层及室间隔穿孔1例并文献复习

Ultrasound diagnosis of myocardial dissection and interventricular septal perforation after myocardial infarction:a case report and lite-rature review

张晓峰 袁馨 赵璐 苏欣悦 刘泳
青岛大学学报(医学版)2024,Vol.60Issue(1) :148-150.DOI:10.11712/jms.2096-5532.2024.60.019

超声诊断心肌梗死后心肌夹层及室间隔穿孔1例并文献复习

Ultrasound diagnosis of myocardial dissection and interventricular septal perforation after myocardial infarction:a case report and lite-rature review

张晓峰 1袁馨 2赵璐 2苏欣悦 2刘泳2
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作者信息

  • 1. 青岛市第五人民医院/青岛大学附属青岛市海慈医院西院区,山东青岛 266033
  • 2. 青岛大学附属青岛市海慈医院/青岛市中医医院
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摘要

目的 探讨心肌梗死后心肌夹层及室间隔穿孔的超声心动图特点及治疗方法.方法 回顾性分析1例心肌梗死后心肌夹层及室间隔穿孔病人的超声心动图表现及外科手术治疗经过.结果 病人术前超声心动图提示心尖部心肌夹层合并室间隔穿孔,射血分数39%.经多学科会诊后病人同意外科手术治疗,遂行室间隔穿孔修补术+冠状动脉旁路移植术+主动脉内球囊反搏术.病人病情稳定后出院.结论 超声心动图是心肌夹层及室间隔穿孔的首选诊断方法.心肌梗死后心肌夹层合并严重并发症应积极手术治疗.

Abstract

Objective To investigate the echocardiographic characteristics of myocardial dissection and interventricular sep-tal perforation after myocardial infarction and related treatment methods.Methods A retrospective analysis was performed for the echocardiographic manifestations and surgical treatment of one patient with myocardial dissection and interventricular septal perforation after myocardial infarction.Results Preoperative echocardiography showed that the patient had apical myocardial dissection and interventricular septal perforation,with an ejection fraction of 39%.After multidisciplinary consultation,the patient agreed to receive surgical treatment,and then interventricular septal perforation repair,coronary artery bypass grafting,and intra-aortic balloon counterpulsation were performed.The patient was discharged with stable vital signs.Conclusion Echocardio-graphy is the preferred diagnostic method for myocardial dissection and interventricular septal perforation,and surgical treatment should be performed for myocardial dissection with severe complications after myocardial infarction.

关键词

心肌梗死/室间隔破裂/超声心动描记术/心脏外科手术

Key words

myocardial infarction/ventricular septal perforation/echocardiography/cardiac surgical procedures

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基金项目

山东省中医药科技项目(M-2022008)

出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
参考文献量18
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