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体外膜肺氧合支持下的经导管主动脉瓣置入术1例

马晔,张亚军

Journal of China-Japan Friendship Hospital（2022）

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Abstract
患者男性,81岁,因"反复晕厥2年,加重1d"入院.既往高血压、糖尿病、冠心病病史.入院心电图:V1、V2、V3导联ST段抬高,V5、V6导联ST段压低.肌钙蛋白T(TnT)0.777ng/ml,肌红蛋白(Myo)124.6ng/ml,肌酸激酶同工酶(CK-MB)20.15ng/ml,脑钠肽前体(NT-proBNP)30531pg/ml.床旁心脏超声:左室壁节段性室壁运动异常,全心扩大,主动脉瓣重度狭窄并轻度返流,左室射血分数24％.考虑主动脉瓣重度狭窄合并ST段抬高型心肌梗死,心衰,予抗板、降脂、控制心室率、利尿等相关治疗.
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