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心肌梗塞后几天至几周可发生有症状的心包炎。许多医师将心肌梗塞后心包炎分为两型:早发型,仅有轻度或全无不适;迟发型(所谓 Dressler 氏综合征),有严重不适、心包积液及肺部浸润,但最近有报告指出,这两型实无区别,迟发型可在梗塞后几天内发生且临床表现类似早发型。心肌梗塞后心包炎往往需用阿斯匹林或消炎痛作为镇痛或消炎的治疗。本文旨在判定此两药中哪一种药物在缓解心肌梗塞后心包炎的疼痛方面更为有效。
Symptomatic pericarditis may occur a few days to several weeks after myocardial infarction. Many physicians divide pericarditis after myocardial infarction into two types: early-onset, with mild or no discomfort; late-onset (so-called Dressler’s syndrome) with severe discomfort, pericardial effusion, and pulmonary infiltrates, The report states that there is no difference between the two types, delayed type can occur within a few days after infarction and the clinical manifestations of early-onset. Pericarditis after myocardial infarction often require aspirin or indomethacin as analgesic or anti-inflammatory treatment. This article aims to determine which of these two drugs is more effective in relieving the pain of pericarditis after myocardial infarction.