陈顺松,白洁,叶孟奇,杨帮国

• 1:云南省阜外心血管病医院昆明医科大学附属心血管病医院心内科

摘要(Abstract)：

急性ST段抬高型心肌梗死（STEMI）及腹主动脉瘤破裂作为两种急危重症，均严重威胁人类生命健康，当两种疾病合并时死亡率极高。本病例报道1例中年男性患者，因晕厥就诊于急诊，心电图提示STEMI，全主动脉血管造影证实腹主动脉瘤破裂。经心血管内科、血管外科协作行同台联合介入治疗，先行腹主动脉瘤覆膜支架置入，后行冠状动脉内支架置入，手术顺利，术后转监护病房，次日患者病情变化，预后不佳。本文旨在讨论两种疾病合并时治疗矛盾及治疗方式选择，同时探讨该患者预后不佳的可能原因。一定程度上为该类患者临床治疗方式选择及如何降低该类患者死亡率提供参考。

关键词(KeyWords)： 急性ST段抬高型心肌梗死;腹主动脉瘤破裂;介入治疗

Abstract:

Keywords:

基金项目(Foundation): 云南省教育厅科学研究基金项目(2024J0308);; 云南省阜外心血管病医院2024年度院级课题项目(2025YFKT-QN-12)

作者(Author): 陈顺松,白洁,叶孟奇,杨帮国

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