急性心肌梗塞(AMI)并室间隔穿孔(VSP)是心脏破裂的一种,其发生率1％～3％。因病情凶险,多数死于心力衰竭及心源性休克,诊断明确应及时手术。现将我院收治2例介绍如下: 例1 男,58岁。胸骨后痛,气短4d,咳粉红色泡沫痰1d入院。查体血压16/12kPa,两中下肺野闻及湿罗音及哮呜音,胸骨左缘3～4肋间V级全收缩期粗糙杂音伴震颤,颈静脉怒张,肝肋下3cm,EKG提示急 Acute myocardial infarction (AMI) and ventricular septal perforation (VSP) is a heart rupture, the incidence of 1% to 3%. Due to dangerous conditions, the majority died of heart failure and cardiogenic shock, diagnosis should be timely surgery. Now 2 cases admitted to our hospital are as follows: A male, 58 years old. Chest pain, shortness of breath 4d, cough pink foam sputum 1d admission. Examination of blood pressure 16 / 12kPa, two in the lower lung smell and wet rales and asthma arousal, left sternal border 3 to 4 intercostal V-level systolic rough murmur with tremor, jugular vein engorgement, liver ribs 3cm, EKG prompt urgent