中西医结合治疗急性ST段抬高型心肌梗死合并室间隔穿孔1例

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【摘 要】文章报道1例77岁女性急性ST段抬高型心肌梗死术后合并室间隔穿孔患者，运用中西医结合保守治疗，中医辨证论治以益气养阴，回阳救逆为法；西医以冠心病二级预防、心力衰竭“新四联”原则。随访3年余，患者精神状态可，生活质量改善。

【关键词】急性心肌梗死；室间隔穿孔；中西医结合

【中图分类号】R256.2   【文献标志码】 A    【文章编号】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间隔穿孔（post infarction ventricular septal rupture，PI-VSR）是少见而致命的并发症，其发生率为1%～2%［1］，常发生于急性心肌梗死（AMI）后1周内，预后不良，且死亡率极高。（剩余5947字）