TY -的A2 Saponara西蒙娜AU -锣,魏盟,聂他PY - 2021 DA - 2021/01/02 TI -新的临床分类为心室自由墙破裂急性心肌梗塞后SP - 1716546六世- 2021 AB -心室自由壁破裂(FWR)是一个灾难性的急性心肌梗死(AMI)后并发症。然而,FWR患者死于心脏填塞次要intrapericardial出血,如果正确诊断,可以治疗。不幸的是,FWR还没有快速而准确的诊断和分类。本研究的目的是提出一个新的FWR临床分类。七十八例STEMI后FWR参加这项研究。我们分类FWR,根据临床情况出现后,心脏骤停的类型,不稳定型、稳定型。心脏骤停的类型是最常见的类型,占83.3%左右。这种类型的90.8%的患者是复杂机电离解FWR发作的时候,这种类型的,100%的患者死于医院。不稳定类型被突如其来的临床状况变化特征与温和的/大量心包积液。在这项研究中,9.0%的患者被诊断为不稳定类型。 The average time from onset to death was 4.5 hours. This period was the “golden time” to rescue such patients. The stable types usually have stable hemodynamics, but may worsen, requiring rigorous detection of pericardial effusion and vital signs. In this study, 7.7% of patients were diagnosed as the stable type, and 83.5% of them survived in the hospital. The new clinical classification provides a basis for clinical diagnosis and treatment of FWR. The clinical application of the new classification is expected to improve the prognosis of FWR patients. SN - 1755-5914 UR - https://doi.org/10.1155/2021/1716546 DO - 10.1155/2021/1716546 JF - Cardiovascular Therapeutics PB - Hindawi KW - ER -