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急性心梗塞併發心室中膈破裂:病例報告及文獻回顧

Acute Myocardial Infarction Complicated with Ventricular Septal Rupture: Case Report and Literature Review

摘要


一名68歲患有糖尿病、肺癌及腎細胞癌婦女,因突發性胸痛至急診求助。住院後經診斷為急性心肌梗塞,入心導管室行介入性治療。因持續低血壓性休克,經心臟超音波檢查發現有心室中膈破裂情形,因拒絕手術治療,後死於心因性休克。急性心梗塞併發心室中膈破裂是發生率低,卻有著高死亡率的心臟急症。

並列摘要


A 68-year-old female with sudden-onset chest pain was suspected of having acute myocardial infarction and admitted to our hospital. She had a history of diabetes mellitus, lung cancer, and transitional cell carcinoma. We treated her by performing percutaneous coronary intervention. However, hypotension with unstable hemodynamic parameters persisted. Ventricular septal rupture was identified by echocardiography. Her family refused surgical repair of the ventricular defect, and subsequently she died from cardiogenic shock.

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