急性心肌梗死后早期心包炎：一项临床超声心动图研究

Early pericarditis after acute myocardial infarction: a clinical echocardiographic study.

作者信息

Somolinos M, Violán S, Sanz R, Marrero P

出版信息

Crit Care Med. 1987 Jul;15(7):648-51. doi: 10.1097/00003246-198707000-00004.

DOI:10.1097/00003246-198707000-00004

Abstract

Clinical and echocardiographic data were evaluated in 46 patients after acute myocardial infarction (AMI). M-mode echocardiogram was performed 24 and 72 h and 5 days after AMI. Early acute pericarditis (EAP) was clinically recognized in 19 (41%) patients. Pericardial effusion (PE) was detected in 29 (63%) patients. In 23 (50%) patients both anterior and posterior PE was observed, while in six (13%) patients PE was only posterior. An echocardiographic pattern consistent with localized fibrinous pericarditis was detected in 11 (24%) patients. Eighteen (95%) of 19 patients with EAP had PE, and only 11 (40%) of the patients without EAP had PE (p less than .001). We conclude that PE is observed frequently after AMI and that the echocardiographic study can help in the diagnosis of EAP after AMI.

摘要

对46例急性心肌梗死（AMI）患者的临床和超声心动图数据进行了评估。在AMI后24小时、72小时和5天进行了M型超声心动图检查。临床上19例（41%）患者被诊断为早期急性心包炎（EAP）。29例（63%）患者检测到心包积液（PE）。23例（50%）患者观察到前后心包积液，而6例（13%）患者仅为后心包积液。11例（24%）患者检测到与局限性纤维蛋白性心包炎一致的超声心动图模式。19例EAP患者中有18例（95%）有PE，而无EAP的患者中只有11例（40%）有PE（p<0.001）。我们得出结论，AMI后经常观察到PE，超声心动图研究有助于诊断AMI后的EAP。