患者女，８４岁，因剧烈胸骨后压榨性疼痛６小时，诊断为急性广泛前壁合并下壁心肌梗死收住院。予以常规治疗，未溶栓。发病后１周患者出现急性左心衰竭表现，可闻及心失内侧新出现的Ⅲ级以上收缩期吹风样杂音，考虑合并急性二失瓣关闭不全或空间隔穿孔。给予保守治疗无效，并 A female patient, 84 years old, was diagnosed with acute extensive anterior wall infarction with inferior myocardial infarction admitted to hospital for severe pain after 6 hours of sternal pain. To conventional treatment, no thrombolysis. One week after the onset of acute left heart failure in patients with performance, can be heard and heart loss of the medial new grade Ⅲ above systolic hair-like murmur, consider the merger of acute two-valve regurgitation or space perforation. Give conservative treatment is invalid, and