Successful Resuscitation for Cardiac Rupture with Timely Diagnosis Aided by Hand-carried Echocardiography-A Case Report

雖然已進入再灌流治療時代，但是心臟破裂仍然是急性心肌梗塞後死亡的一個重要原因；其通常是以電氣機械解離合併突然循環衰竭來表現。心臟超音波對於正確診斷、排除其他心臟結構性併發症、以及在手術修補前的心包膜積液抽取導引皆扮演關鍵性的角色。在此，我們報告一位七十三歲男性病例，第一次發生ST波段上升急性心肌梗塞，併發心臟破裂，而以突然循環衰竭、電氣機械解離、竇性心博過慢、以及大量心包膜積液表現。在急診處即以手提心臟超音波來輔助正確診斷，並導引心包膜積液抽取術爭取時間，之後成功的以手術修補救治。

關鍵字

心肌梗塞；心臟彼裂；心包膜填塞；手提式心臟超音波

並列摘要

Despite the progress in the era of reperfusion, cardiac rupture is still a prominent cause of early death after acute myocardial infarction (AMI). Mostly, electromechanical dissociation with sudden collapse is the scenario. Echocardiography is vital for prompt diagnosis, excluding other mechanical complications, and guiding emergent therapeutic pericariocentesis prior to repair surgery. We present a 73-year-old male, who suffered from his first-time ST-segment elevation AMI, developing cardiac rupture with the presentation of sudden circulatory collapse, electromechanical dissociation, sinus bradycardia, and massive bloody pericardial effusion. He was encountered in the emergency department, and a hand-carried echocardiography device provided timely aid to the diagnosis, management and successful rescue of this patient.

並列關鍵字

Myocardial infarction ； Cardiac rupture ； Cardiac tamponade ； Hand-carried echocardiography system

國際替代計量

Successful Resuscitation for Cardiac Rupture with Timely Diagnosis Aided by Hand-carried Echocardiography-A Case Report

全文下載

主題瀏覽