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作者对31例复发性心包炎病人进行长达2~19年的观察,其中24例为特发性心包炎,4例为手术后或创伤后心包炎,2例为心肌梗塞后心包炎,1例为抗凝剂导致心包内出血后的复发性心包炎。24例(第一组)复发是根据心电图改变和超声心动图提示有心包积液,或与胸痛并存的心包摩擦音;而7例(第二组)的复发仅以白细胞计数增加、血沉加速及疼痛、发热为依据。以往对急性心包炎复发的可能性已有报告,但本文与以往观点的不同在于观察的病例较多,对并发症
The authors observed 31 patients with recurrent pericarditis up to 2 to 19 years, of which 24 were idiopathic pericarditis, 4 were post-operative or traumatic pericarditis, 2 were pericarditis after myocardial infarction, 1 Cases of anticoagulants lead to pericardial hemorrhage after recurrent pericarditis. Twenty-four patients (group 1) relapsed based on ECG changes and echocardiography with pericardial effusion suggestive of pericardial effusion or pericardial frictional sound associated with chest pain; whereas relapse in 7 patients (group 2) only increased white blood cell count, accelerated ESR, and pain , Fever is based on. The past, the possibility of recurrence of acute pericarditis have been reported, but the difference between this article and the previous view is that the observation of more cases of complications