急性扁桃体炎并发急性心肌心包炎：一项前瞻性研究。
Acute myopericarditis complicating acute tonsillitis: a prospective study.
作者信息
Talmon Yoav, Ishai Reuven, Samet Alvin, Sturman Alexander, Roguin Nathan
机构信息
Department of Otolaryngology-Head and Neck Surgery, Western Galilee Hospital, Nahariya, Israel.
出版信息
Ann Otol Rhinol Laryngol. 2009 Aug;118(8):556-8. doi: 10.1177/000348940911800804.
OBJECTIVES
We describe a prospective study of 100 consecutive cases of acute tonsillitis tested for cardiac involvement. There was 1 clear-cut case of acute myopericarditis and 5 more patients with pathological findings suggesting cardiac complication.
METHODS
During a 6-month period (November 2006 to April 2007), we prospectively studied 100 consecutive patients admitted to our department with acute tonsillitis for the purpose of detecting acute myopericarditis. We obtained for each patient a serial electrocardiogram and echocardiogram, and took blood samples. All blood samples were analyzed for the presence of the marker troponin 1 and for cardiac enzymes.
RESULTS
One patient (male) had a definitive diagnosis of myopericarditis, and another 5 patients (3 of whom were female) had abnormal cardiac findings suggestive of myopericarditis.
CONCLUSIONS
Otolaryngologists should be aware of the possibility of cardiac involvement in acute tonsillitis and perform an adequate workup whenever such a possibility is suspected.
目的
我们描述了一项对100例连续急性扁桃体炎患者进行心脏受累检测的前瞻性研究。有1例明确的急性心肌心包炎病例，另有5例患者的病理结果提示存在心脏并发症。
方法
在6个月期间（2006年11月至2007年4月），我们前瞻性地研究了100例因急性扁桃体炎入住我科的连续患者，以检测急性心肌心包炎。我们为每位患者进行了系列心电图和超声心动图检查，并采集了血样。所有血样均分析了肌钙蛋白1标志物和心脏酶的存在情况。
结果
1例患者（男性）被明确诊断为心肌心包炎，另有5例患者（其中3例为女性）有提示心肌心包炎的异常心脏检查结果。
结论
耳鼻喉科医生应意识到急性扁桃体炎患者存在心脏受累的可能性，并在怀疑有这种可能性时进行充分的检查。
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