医学影像英语每日学丨162.Dressler syndrome

每天朗读一段医学影像学英语文章

领读： 妙然老师

Dressler syndrome(postpericardiotomy/postmyocardial 

typically occurs 2 to 3 weeks after a transmural myocardial infarct. It also can occur following pericardiotomy such as occurs in patients undergoing coronary artery bypass surgery, as in this case. The combination of chest pain and fever, left pleural effusion, patchy left lower lobe airspace disease, and pericardial effusion several weeks following a myocardial infarction or open-heart surgery should suggest the syndrome. It usually responds to high-dose aspirin or steroids. This patient has a dual lead pacemaker in place and, on the lateral projection (B), the leads are seen in the region of the right atrium (dotted black arrow) and right ventricle (arrowhead).

Notes:

1. Dressler syndrome    Dressler 综合征

-Postpericardiotomy/postmyocardial infarction syndrome

-Typically occurs 2-3 weeks after a transmural myocardial infarct producing a left pleural effusion, pericardial effusion, and patchy airspace disease at the left lung base

-Associated with chest pain and fever, it usually responds to high-dose aspirin or steroids

2. postpericardiotomy  心包切除术后

3. postmyocardial 心肌梗死后

4. transmural  /træns'mjʊərəl/ adj. 透壁的

5. coronary artery  /'kɔrənɛri/ adj. 冠状动脉

6. aspirin   /'æsprɪn/ n. 阿司匹林

7. steroids  /'stiərɔidz/ n. 激素

8. pacemaker   /'peɪsmeɪkə/ n. 起搏器

9. atrium  /'eɪtrɪəm/ n. 心房

10. ventricle  /'vɛntrɪkl/ n. 心室

【Dressler syndrome(postpericardiotomy/postmyocardial infarction syndrome) Dressler综合征/心包切开术后综合征/心肌梗死后综合征】
A图：左侧胸腔积液。这种综合征最典型见于透壁性心肌梗死2-3周后。也可见于心包切除术后患者，比如冠状动脉旁路手术，正如该患者。心肌梗死后或者行开胸手术的患者，几周后表现为胸痛、发热、左侧胸腔积液、左下叶斑片状空腔病变、心包积液，常提示该综合征。常由于高剂量阿司匹林或者甾体抗炎药。B图侧位片可见该患者双腔起搏器在位。电极分别位于右心房和右心室。

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁

---