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急性心肌梗塞并发的心包炎有两种类型:一种是较为常见的早期型(是由穿壁性心肌梗塞本身接触性炎症反应所致的并发症),发生于急性心肌梗塞后24～48小时内;另一种是晚期型,一般发生在心肌梗塞2～14周,也可早至心肌梗塞后第3天～第1周内,或迟至2年以后.晚期型心包炎特称为“心肌梗塞后综合征”或 Drssler 综合征.发病机理心肌梗塞后综合征,典型的起病是在急性心肌梗塞后数周,患者又有发热,胸痛,常被误诊为“新的心肌梗塞”。本综合征可能发生在小的心内
There are two types of pericarditis associated with acute myocardial infarction: one is the more common type of early (which is a complication of contact inflammation caused by transmyocardial infarction itself) that occurs 24 to 48 hours after acute myocardial infarction ; The other is advanced type, usually occurs in 2 to 14 weeks of myocardial infarction, but also as early as 3 days after myocardial infarction to the first week, or as late as 2 years later. Late pericarditis is called “ Myocardial infarction syndrome ”or Drssler syndrome Pathogenesis Myocardial infarction syndrome, the typical onset is in the weeks after acute myocardial infarction, patients have fever, chest pain, often misdiagnosed as“ new myocardial infarction. ” This syndrome may occur in small hearts