Old myocardial infarction ventricular aneurysm caused cardiac rupture combined nursing experience.docVIP

 PAGE \* MERGEFORMAT 6 Old myocardial infarction ventricular aneurysm caused cardiac rupture combined nursing experience [Keywords:] merge old myocardial infarction, cardiac rupture aneurysm Myocardial infarction in coronary artery disease, based on the occurrence of myocardial ischemia, injury, necrosis and a series of pathological changes of the formation, is one of common clinical cardiovascular disease, mostly occurs in older patients. With the development of modern medicine , the lower the incidence of complications, concurrent cardiac rupture is even rarer. now obsolete Myocardial Infarction Clinical one case caused cardiac rupture in patients with ventricular aneurysm and died described below: About 1 case Patients, male, 66 years old, mainly due to intermittent chest tightness, wheezing 3 years, increasing abdominal distension with half a month in at 10:30 on January 23, 2009 admission. Diagnosis: coronary heart disease, old myocardial infarction, heart failure. Check Body: T37 , P78 beats / min, R25 beats / min, BPl5/10.3kPa, conscious, acute tolerance, pain expression, anger swelling jugular vein, carotid artery abnormalities without beat, lung sounds can be heard and small blisters, heart industry to expand to the left, the first heart sound with low blunt apex, the valve auscultation area pathological murmur did not hear, heart rate 78 beats / min, irregular rhythm is absolutely, pulse shortage, the liver was palpable 4cm ribs, liver and neck venous reflux and positive signs, mild lower extremity edema refers to concave. electrocardiogram showed: atrial fibrillation, old anterior myocardial infarction under the bi. echocardiography Tip: aneurysm. given cardiac, diuretic, vasodilator and anti-infective therapy condition improved. At 8:10 on February 8, 1998, the patient sudden difficulty breathing, wheezing, then convulsions, heart rate, respiratory arrest. Immediate cardiopulmonary resuscitation, in 8:20 heartbeat and breathing rest