寇晓庆,甘义荣,张云龙,谢定雄,冒锐,梁天香,杨小丽,王延震

• 1:兰州市第一人民医院心研所

摘要(Abstract)：

药物治疗和手术治疗是心肌桥的两种主要治疗方法。然而，关于冠状动脉旁路移植术（CABG）和心肌桥松解术的应用仍存在争议。本病例报道1例心肌桥患者在CABG后发生心肌梗死。患者因持续胸痛、胸闷、呼吸短促2 h就诊于兰州市第一人民医院，体格检查未见明显阳性征象。心电图显示广泛的前壁心肌梗死。实验室检查肌红蛋白140.1 ng/ml；肌钙蛋白I为2.59 ng/ml。未发现其他异常。初步诊断为急性广泛前壁心肌梗死。急诊冠状动脉造影显示左前降支中段心肌桥。行左乳内动脉-左前降支急诊CABG，病情好转出院。在术后7年再次发生心肌梗死，再次给予药物二级预防治疗。患者现在正在接受持续的随访。CABG是治疗心肌桥的有效方法。但根据本文报道的病例，建议仔细评估患者是否可以从CABG中获益。

关键词(KeyWords)： 心肌桥;急性心肌梗死;冠状动脉旁路移植术

Abstract:

Keywords:

基金项目(Foundation): 兰州市卫生健康行业青年科技人才项目（A2023033）

作者(Author): 寇晓庆,甘义荣,张云龙,谢定雄,冒锐,梁天香,杨小丽,王延震

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