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心内起搏成功地抢救急性心肌梗塞合并Ⅲ°房室传导阻滞一例报告

A CASE OF ACUTE MYOCARDIAL INFARCTION ASSOCIATED WITH COMPLETE A-V BLOCK SAVED BY INTRACARDIAC PACEMAKER

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【摘要】 <正> 急性心肌梗塞出现房室传导阻滞的发生率约10~15%;发生Ⅲ°房室传导阻滞者2.7~8%。关于急性心肌梗塞时发生完全性房室传导阻滞的病死率各家报告不同,Lown为47~80%,Gregory为30~70%,为47~85.7%,Friedberg约介于22~100%

【Abstract】 A case of acute anterior septal myocardial infarction associated with complete A-V block was reported. 25 repeated attacks of Adams-Stokes syndrome occured in the case. Combined emergency treatment including intracardiac pacemaker, anti-arrhythmia and procedures for reducing the infarcted area were applied under patient monitoring system for 10 days. Patient was survived and the general condition was good with a normal cardiac function.After 32 days hospitalization, patient was discharged.

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