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心肌梗死后的继发性心包炎(作者译)

[Secondary pericarditis after myocardial infarction (author's transl)].

作者信息

Tatibouet L, Olivier J, Germa D

出版信息

Sem Hop. 1979;55(31-32):1422-6.

PMID:228423
Abstract

Our study concerns 480 observations about myocardial infarctions. In 10% of the cases, we have found a premature pericarditis diagnosed on the pericardic friction, electric and biologic signes. Some complications such as rythmical troubles, left ventricular dificiency, parietal anevrism are more frequent and increase the prognosis. In 1,2% of the cases, we find a post-infarction syndrom of Dressler, the prognosis of which is mild. The diagnosis is founded on the revival of the thoracic pain, the fever, the pericarditis and an inflammatory syndrom. The corticothérapy is efficient but seems to favour relapses.

摘要

我们的研究涉及480例心肌梗死观察病例。在10%的病例中,我们通过心包摩擦、电学和生物学体征诊断出了早期心包炎。一些并发症,如节律紊乱、左心室功能不全、壁动脉瘤更为常见且会增加预后风险。在1.2%的病例中,我们发现了德雷斯勒梗死后综合征,其预后较轻。诊断基于胸痛复发、发热、心包炎和炎症综合征。皮质激素疗法有效,但似乎会增加复发几率。

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