心肌破裂通常导致突然心包填塞、血液动力学急剧恶化与死亡。心脏破裂后存活期超过数小时且无症状以往尚无报导。本文报告1例急性心肌梗塞(AMI)患者左室前壁破裂后存活达12日,以后死于心包填塞。患者男性,52岁,因严重胸骨后疼痛住院。ECG提示急性前间壁心肌梗塞,血清CPK为1678、SGOT440、LDH1985。未曾 Myocardial rupture usually results in sudden cardiac tamponade, a sharp deterioration in hemodynamics and death. Cardiac rupture survival of more than a few hours and asymptomatic in the past there is no report. This article reports 1 patient with acute myocardial infarction (AMI) survived a rupture of the anterior wall of the left ventricle for up to 12 days and later died of pericardial tamponade. Male, 52 years old, hospitalized for severe chest pain. ECG prompted acute anterior myocardial infarction, serum CPK 1678, SGOT440, LDH1985. Never