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心肌梗塞后综合征(postmyocardial infarctionsyndrome,PMIS)为Dressler于1955年首先描述,以心肌梗塞(MI)后几周或几个月发生胸膜心包疼痛、发热和红细胞沉降率(ESR)增高为特点。发生率为0~4.6%。本研究旨在对大批不加选择的MT病人,通过随访分析比较,以确定其临床特点、发病率及其预后。病人和方法 1,809例心肌梗塞后随访的患者.诊断标准是:心肌梗塞后1周以上发生下列症状:①胸膜心包疼痛;②发热37.5℃以上;③ESR>40mm。如果仅有上述中的2点,则诊断为可能PMIS。此外,除再发性梗塞、静脉血栓形成、肺栓塞、心力衰
Post-myocardial infarction syndrome (PMIS), first described by Dressler in 1955, is characterized by pleural pericardial pain, fever and elevated erythrocyte sedimentation rate (ESR) in the weeks or months after myocardial infarction (MI). The incidence was 0 ~ 4.6%. This study aimed to analyze a large number of unselected MT patients through follow-up analysis to determine their clinical features, incidence and prognosis. Patients and Methods 1,809 patients were followed up after myocardial infarction.The diagnostic criteria were as follows: more than one week after myocardial infarction, the following symptoms occurred: ① pleural pericardial pain; ② fever 37.5 ℃ or more; ③ ESR> 40mm. If there are only 2 of the above, it is diagnosed as possible PMIS. In addition, in addition to recurrent infarction, venous thrombosis, pulmonary embolism, heart failure