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心肌梗塞急性期所发生的心包炎,虽未能证实住院期病死率会增高,但对心包炎并发症的认识仍有其重要性,因为可避免由 ST 段抬高而误诊为梗塞范围的扩展和广泛性心肌损伤.作者将1977年7月1日至1978年底住美国大学医院冠心病监护病房的261例患者的所有资料储存在电子计算机内。诊断标准:①典型病史(较典型的心绞痛);③S-T 及 T 进行性改变及异常 Q 波;③血清酶明显增高(如 CPK、GOT 和 LDH 等)。上述标准至少符合2条,患者均持续监护至少3～5天。在261例急性心肌梗塞患者中,共发现38例(14.5%)透壁心肌梗塞患者合并心包炎,在余下的223例无合并心包炎的急性心肌梗塞患者中,按每一
Pericarditis that occurs during the acute phase of myocardial infarction, although it has not been shown to be associated with an increased rate of hospital-acquired mortality, remains important for understanding the complications of pericarditis because it avoids the misdiagnosis of infarct size as an extension of ST-segment elevation And extensive myocardial damage.The authors stored all the data on 261 patients admitted to the Coronary Care Unit of the University Hospital between July 1, 1977 and January 1978 in a computerized computer. Diagnostic criteria: ① typical history (more typical angina); ③ S-T and T progressive changes and abnormal Q waves; ③ serum enzymes were significantly higher (such as CPK, GOT and LDH, etc.). The above criteria meet at least 2, patients were continuously monitored at least 3 to 5 days. In 261 patients with acute myocardial infarction, 38 (14.5%) patients with transmyocardial infarction were found to have pericarditis. Of the remaining 223 patients with acute myocardial infarction without pericarditis,