心房颤动射频消融术后合并急性心肌心包炎一例

摘要

Acute myocarditis involving pericarditis is rare in clinical practice,because of its diagnosis is based on endomyocardial biopsy and pathological examination.Clinical application is limited,grassroots hospitals more difficult to do.Clinically often encountered a high degree of suspected acute myocardial pericarditis,because of its clinical manifestations and acute myocardial infarction similar to the auxiliary examination,such as continuous not relieve chest pain,increases myocardial enzymes and electrocardiogram ST segment elevation,clinical misdiagnosis rate is high.so in such patients should ask for details of the history,analysis of the illness,improve the level of clinical diagnosis and increase diagnosis rate.%急性心肌炎累及心包炎在临床上并不多见,因其确诊依据是心内膜心肌活检及病理学检查,临床应用有限,基层医院更难做到,临床上常遇到高度怀疑急性心肌心包炎者,因其与急性心肌梗死临床表现及辅助检查相似,如持续不缓解胸痛、心肌酶增高、心电图ST段抬高等,临床误诊率高,故遇到此类患者应该详细询问病史、分析病情,提高临床鉴别诊断水平,提高确诊率.