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本文回顾分析1971年至1987年间收治的急性室间隔破裂患者20(男14、女6)例,年龄66.8±7.9(46～79)岁,均经心脏插管检查。在18例中,心肌梗塞症状出现至临床医师闻及收缩期杂音平均6.6(1～22)天。其余2例持续胸痛7天和14天,临床未能确诊心肌梗塞,但手术发现左室后壁表面有纤维化。心电图诊断心肌梗塞部位如下:下壁或下后壁梗塞8例(其中1例兼有右室梗塞),前壁梗塞4例(其中1例兼有右室梗塞),前壁和前侧壁梗塞6例。插管检查前心功能 Killip 分级如下:4级11例,3级6例,2级2例,1级1例。9
This retrospective analysis of 20 patients (14 males and 6 females) with acute ventricular septal rupture admitted between 1971 and 1987 with a mean age of 66.8 ± 7.9 (46 to 79 years) was performed cardiac catheterization. In 18 patients, symptoms of myocardial infarction appeared to be clinically significant to clinicians and systolic murmurs averaged 6.6 (1 to 22) days. The remaining 2 patients sustained chest pain for 7 days and 14 days, the clinical failure to diagnose myocardial infarction, but the surface of the left ventricular posterior wall surgery found fibrosis. Electrocardiographic diagnosis of myocardial infarction sites are as follows: 8 cases of inferior or inferior posterior wall infarction (including 1 case of right ventricular infarction), anterior infarction in 4 cases (1 case of both right ventricular infarction), anterior and anterior wall infarction 6 cases. Killip classification of cardiac function before intubation was as follows: grade 4 in 11 cases, grade 3 in 6 cases, grade 2 in 2 cases and grade 1 in 1 case. 9