摘要
约5%~10%的急性心肌梗死患者冠状动脉狭窄程度< 50%,临床上将其定义为冠状动脉非阻塞性心肌梗死(MINOCA),冠状动脉血栓形成是其主要病因之一。该文报告1例抗磷脂综合征的青年男性患者发生冠状动脉血栓致急性下壁及后壁心肌梗死,冠状动脉造影显示右冠中远段及左室后支近段可见血栓,术后予以积极抗栓治疗。该文总结其可能病因、诊断依据及诊疗过程,以期为临床诊治类似病例提供参考。
About 5%~10% of patients with acute myocardial infarction have coronary artery stenosis < 50%, which is clinically defined as myocardial infarction with non-obstructive coronary arteries (MINOCA). Coronary thrombosis is one of the main causes of MINOCA. This paper reports a case of acute inferior and posterior myocardial infarction caused by coronary thrombosis in a young male patient with antiphospholipid syndrome. Coronary angiography showed thrombosis in the middle and distal right coronary artery and proximal posterior branch of left ventricle. This article summa-rizes the possible etiology, diagnostic basis and diagnosis and treatment process, in order to pro-vide reference for clinical diagnosis and treatment of similar cases.
出处
《临床医学进展》
2022年第11期10003-10007,共5页
Advances in Clinical Medicine
