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急性心包炎

Acute pericarditis.

作者信息

Kytö Ville, Matti Niemelä Matti

出版信息

Duodecim. 2017;133(4):391-6.

Abstract

Acute pericarditis is typically associated with a viral infection. Chest pain appearing in connection with or soon after the symptoms of infection is the characteristic symptom. Diagnosis is based on the recognition of two characteristic findings (pericardial chest pain, pericardial friction rub, new ECG changes or new pericardial effusion). Medication with an anti-inflammatory analgesic for 1 to 2 weeks is the first-line treatment. A longer course of colchicine is recommended for the prevention of recurrence of the disease. The use of glucocorticoids should be avoided due to the associated risk of recurrence. Exercise and physical activity are harmful during pericarditis.

摘要

急性心包炎通常与病毒感染有关。与感染症状同时出现或在感染症状出现后不久出现的胸痛是其特征性症状。诊断基于对两个特征性表现(心包性胸痛、心包摩擦音、新的心电图变化或新的心包积液)的识别。使用抗炎镇痛药治疗1至2周是一线治疗方法。建议使用较长疗程的秋水仙碱以预防疾病复发。由于存在复发风险,应避免使用糖皮质激素。在心包炎期间运动和体育活动是有害的。

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