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室壁瘤是心肌梗塞后的重要并发症之一,过去主要根据心肌梗塞后ST段持续抬高3～6个月提出臆断,然后经胸部X线平片检查、左室造影确诊。本文总结了我院1988年1月～1989年9月间27例住院的心肌梗塞病人,年龄42～75岁。急性、亚急性和陈旧性梗塞分别为9、2、16例。有8例确诊为室壁瘤,其中急性、亚急性梗塞各1例,陈旧性梗塞6例。梗塞部位为广泛前壁及广泛前壁+高侧壁。10例下壁梗塞者无1例合并室壁瘤。27例中ST段抬高8周以上有9例,仅有4例出现室壁瘤。室壁瘤发生在左室心尖者3例,可见阳性X线(胸部平片)征象;另5例发生在左室前壁者则为阴性。8例室壁瘤患者中有6例合并心力衰竭,且有3例程度较重药物治疗效
Wall aneurysm is one of the important complications after myocardial infarction. In the past, it was mainly based on the assumption that ST-segment elevation after myocardial infarction was continued for 3 to 6 months and then confirmed by chest X-ray and left ventriculography. This article summarizes our hospital from January 1988 to September 1989 27 cases of hospitalized patients with myocardial infarction, aged 42 to 75 years. Acute, subacute and old infarcts were 9,2,16 cases. 8 cases were diagnosed as aneurysm, including acute and subacute infarction in 1 case and old infarction in 6 cases. The infarct site is extensive anterior and extensive anterior + high lateral. None of 10 patients with inferior wall infarction complicated by aneurysm. 27 cases of ST segment elevation more than 8 weeks in 9 cases, only 4 cases of aneurysm. Ventricular aneurysm occurred in 3 cases of left ventricular apex, showing positive X-ray (chest plain film) signs; the other 5 cases occurred in the left anterior wall was negative. Six of the eight patients with aneurysm had heart failure, and three were treated to a greater degree