作者复习有关文献,报道9例产后急性心肌梗死,加上作者报道2例,共11例。发病年龄17～35(平均28)岁。除1例外,几乎所有急性心肌梗死均发生在产后10天内。产前患者均无胸痛、心律失常或心脏病史。11例产妇中有8例为初产妇。将近半数产妇合并有先兆子痫。在产后心肌梗死中,有前壁梗死8例,后壁梗死1例和梗死部位不明2例。有4例产妇,由于急性心肌梗死而死亡,1例产妇多次发生心脏停搏。5例产妇作了冠状动脉检查。3例作了尸解,发现有冠状动脉粥样硬化和急性冠状动脉血栓形成;2例产妇作了冠状动脉造影,未见冠状动脉有闭塞性病变。讨论作者认为产后心肌梗死与较多见的妊娠期 The authors review the literature, reported 9 cases of postpartum acute myocardial infarction, plus the authors reported in 2 cases, a total of 11 cases. Age of onset 17 ~ 35 (average 28) years old. With the exception of one exception, almost all acute myocardial infarction occurred within 10 days postpartum. Prenatal patients had no history of chest pain, arrhythmia, or heart disease. Eight of the 11 mothers were primipara. Nearly half of women with preeclampsia. In postpartum myocardial infarction, there were anterior wall infarction in 8 cases, posterior wall infarction in 1 case and infarction in 2 cases. There are 4 maternal deaths due to acute myocardial infarction, 1 case of multiple mothers cardiac arrest. 5 cases of maternal coronary examination. Three cases were autopsy found coronary atherosclerosis and acute coronary thrombosis; 2 maternal coronary angiography, no coronary occlusive disease. Discussion The authors believe that postpartum myocardial infarction is more common in pregnancy