【摘要】 <正> 心脏破裂为急性心肌梗塞较为常见的并发症和死亡原因之一,我们在40例心肌梗塞尸检病例中发现9例并发心脏破裂,发生率占心肌梗塞尸检例的22.5％,就18例急性心肌梗塞的尸检例而言,心脏破裂的发生率竟高达50％,远较文献报告(自4～26％)为高。本文综合9例心肌梗塞并发心脏破裂的临床病理资料,并与31例未发生心脏破裂的心肌梗塞的尸检材料作对照,以探讨心肌梗塞并发心脏破裂的临床病理特点和心脏破裂的发生机理及有关影响因素,以期对防治本病提供一些建议。更多还原

【Abstract】 The results of postmortem examination of 9 cases of myocardial infarction complicated by rupture of the heart were reported. The rupture site located at the free wall of left ventricular in 7 cases and ventricular septum in 2 cases respectively. Both the pathological changes of the heart specimens and the clinical manifestations of all these cases were described in detail. Pathological changes in relation to the clinical manifestations Of myocardial infarction complicated with cardiac rupture were discussed with myocardial infarction without rupture, 31 cases, as control. In addition, factors involving the pathogenesis, diagnosis, prevention and treatment of myocardial infao-tion complicated with rupture were all vulnerable to be considered.更多还原