CAJ | 학술논문

目的观察急性心肌梗死(AMI)合并室间隔穿孔患者应用封堵伞行室间隔穿孔封堵,同时或择期行冠状动脉支架置入远期疗效.方法对3例患者按常规方法行室间隔封堵术,并行择期冠脉介入治疗.心功能的评定采用临床观察及超声心动图测定的方法,追踪 12～22 个月.结果心功能由术前的Ⅵ级恢复为Ⅰ～Ⅱ级并维持至今.术后无心绞痛发生,无心力衰竭再入院.结论 AMI 并发室间隔穿孔,择期介入封堵室间隔可明显改善患者的心功能,改善预后,提高生活质量.冠状动脉支架置入术在封堵术成功数日后进行较术前及同期进行更为合理、安全.
목적 관찰급성심기경사(AMI)합병실간격천공환자응용봉도산행실간격천공봉도,동시혹택기행관상동맥지가치입원기료효.방법 대3례환자안상규방법행실간격봉도술,병행택기관맥개입치료.심공능적평정채용림상관찰급초성심동도측정적방법,추종 12～22 개월.결과 심공능유술전적Ⅵ급회복위Ⅰ～Ⅱ급병유지지금.술후무심교통발생,무심력쇠갈재입원.결론 AMI 병발실간격천공,택기개입봉도실간격가명현개선환자적심공능,개선예후,제고생활질량.관상동맥지가치입술재봉도술성공수일후진행교술전급동기진행경위합리、안전.
Objective Perforation of ventricular septum is one of the serious complications of acute myocardial infarction. Occluder umbrella is used in the closure of ventricular septal perforation by the way of intervention, and coronary stent implantation is used at the same time or selective time. To observe the long-term curative effect. Methods After occlusion, three cases of acute myocardial infarction with perforation of ventricular septum were observed. Results The cardiac function recovered from Ⅵ toⅠ～Ⅱ grade and maintained up to now. The cardiac function was evaluated by NYHA grade and echocardiography within 12～22 months. There was no angina pectoris and heart failure re-admission among the three cases. Conclusion Selective interventional closure of ventricular septal perforation in the patients with acute myocardial infarction and perforation of ventricular septum can significantly improve the patient's cardiac function, prognosis and quality of life. It is more reasonable and safe that coronary stent implantation was undertaken in a few days later after successful closure of ventricular septal perforation than preoperation or at the same time.