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心肌梗塞后综合征(又称Dressler综合征)是心肌梗塞的并发症之一,临床少见。本文对我院1981年1月～1993年1月间所收治的210例心肌梗塞患者的临床资料进行总结,就心肌梗塞住院期间并发心肌梗塞后综合征12例临床特点回顾性分析如下。 1 临床资料 1.1 一般资料 本组12例中男9例,女3例,年龄47～83岁,平均61岁。50岁以下者1例,51～60岁2例,61～70岁7例,71岁以上2例。 1.2 梗塞部位 本组广泛前壁4例,前间壁3例,前壁1例,高侧壁1例,下壁1例,下壁加后壁2例。 1.3 临床表现 12例均表现剧烈胸痛,位于胸骨后痛7例,心前区痛4例,上腹痛1例。发热12例,体温38～39.5℃,听到心包摩擦音10例,消失时间2天6例,4天2例,5天的1例,6天的1例。气促12例,咳嗽10例,呼吸困难9例。复发2次3例,占25％,3次2例,占17％。发病时间:心肌梗塞后2～6周发病8例,7～10周3例,15周1例。 1.4 辅助检查 ①实验室检查:12例血沉均升高,30～50mm/h 5例,50～60mm/h 6例,75mm/h 1例。周围血白细胞(10～20)×10~9/L 7例,大于20×10~9/L 5例,
Myocardial infarction syndrome (also known as Dressler syndrome) is one of the complications of myocardial infarction, clinically rare. The clinical data of 210 patients with myocardial infarction admitted to our hospital from January 1981 to January 1993 were summarized. The clinical features of 12 patients with myocardial infarction complicated with myocardial infarction syndrome during hospitalization were retrospectively analyzed as follows. 1 Clinical data 1.1 General Information The group of 12 patients, 9 males and 3 females, aged 47 to 83 years, mean 61 years. 1 under 50 years old, 2 cases 51 to 60 years old, 7 cases 61 to 70 years old, 2 cases over 71 years old. 1.2 infarction in this group a wide range of 4 cases of anterior wall, anteroseptal in 3 cases, anterior wall in 1 case, high side wall in 1 case, inferior wall in 1 case, inferior wall plus posterior wall in 2 cases. 1.3 Clinical manifestations of 12 cases showed severe chest pain, chest pain in 7 cases, 4 cases of anterior heart pain, abdominal pain in 1 case. 12 cases of fever, body temperature 38 ~ 39.5 ℃, 10 cases of pericardial friction fringing heard, disappeared for 2 days in 6 cases, 2 cases in 4 days, 5 days in 1 case, 6 days in 1 case. Shortness of breath in 12 cases, cough in 10 cases, dyspnea in 9 cases. Recurrence 2 times in 3 cases, accounting for 25%, 3 times in 2 cases, accounting for 17%. Onset time: 2 to 6 weeks after the onset of myocardial infarction in 8 cases, 7 to 10 weeks in 3 cases, 15 weeks in 1 case. 1.4 auxiliary examination ① laboratory tests: 12 cases of erythrocyte sedimentation rate were elevated, 30 ~ 50mm / h in 5 cases, 50 ~ 60mm / h in 6 cases, 75mm / h in 1 case. Peripheral blood leukocytes (10 ~ 20) × 10 ~ 9 / L in 7 cases, more than 20 × 10 ~ 9 / L in 5 cases,