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心肌梗塞后综合征(Dressler’s Syndrome)为一病因未明症候群。病毒起因说曾被考虑,但目前以坏死心肌诱发的自身免疫性疾患说较有说服力。急性心肌梗塞病程中若有持续放射性胸痛,38～39℃发热,并有心包炎合并胸膜炎及局限性肺炎症状者,如检查肺动脉舒张期末压力,心搏出量及中心静脉压等排除急剧进展性左心衰,参照无血清酶改变,可考虑按梗塞后综合征治疗。
Dressler’s Syndrome is a syndrome of unknown etiology. The cause of the virus was said to have been considered, but the current autoimmune disorders induced by necrotic myocardium are more convincing. Acute myocardial infarction in the course of persistent radiation chest pain, 38 ~ 39 ℃ fever, and pericarditis with pleurisy and limitations of pneumonia symptoms, such as examination of pulmonary end-diastolic pressure, cardiac output and central venous pressure to exclude rapid progress Left heart failure, with reference to serum-free enzyme changes can be considered by the post-infarction syndrome treatment.