中西醫(yī)結(jié)合治療急性ST段抬高型心肌梗死合并室間隔穿孔1例

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【摘 要】文章報(bào)道1例77歲女性急性ST段抬高型心肌梗死術(shù)后合并室間隔穿孔患者，運(yùn)用中西醫(yī)結(jié)合保守治療，中醫(yī)辨證論治以益氣養(yǎng)陰，回陽救逆為法；西醫(yī)以冠心病二級預(yù)防、心力衰竭“新四聯(lián)”原則。隨訪3年余，患者精神狀態(tài)可，生活質(zhì)量改善。

【關(guān)鍵詞】急性心肌梗死；室間隔穿孔；中西醫(yī)結(jié)合

【中圖分類號】R256.2   【文獻(xiàn)標(biāo)志碼】 A    【文章編號】1007-8517（2024）13-0084-04

DOI：10.3969/j.issn.1007-8517.2024.13.zgmzmjyyzz202413019

One Case of Acute St-Segment Elevation Myocardial Information Complicated with Ventricular

Septal Perforation Was Treated With Integrated Traditional Chinses and Western Medicine

HE Xinhui1 ZHU Yihan2 LUO ShiHua1 HE Yanqing1 GAO Yan1 LI Yi1*

1.Yunnan Provincial Hospital of Traditional Chinese edicine，Kunming 650021，China；

2.Yunnan Provincial Maternal and Child Health Center，Kunming 650021，China

Abstract：

The article reports a case of a 77 years old female patient with acute ST segment elevation myocardial infarction complicated with ventricular septal perforation after surgery. The patient was treated conservatively with a combination of traditional Chinese and Western medicine，and treated according to TCM syndrome differentiation with the methods of supplementing qi and nourishing yin，returning yang to save adverse reactions；Western medicine adheres to the principle of secondary prevention of coronary heart disease and the “new quadruple” of heart failure. After a 3-year follow-up，the patient’s mental state is good and their quality of life improves.

Keywords：

Acute Myocardial Infarction；Ventricular Septal Perforation；Integrated Chinese and Western Medicine

急性心肌梗死合并室間隔穿孔（post infarction ventricular septal rupture，PI-VSR）是少見而致命的并發(fā)癥，其發(fā)生率為1%～2%［1］，常發(fā)生于急性心肌梗死（AMI）后1周內(nèi)，預(yù)后不良，且死亡率極高。（剩余5947字）