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ESC 2015：心包疾病指南亮点，秋水仙碱作为一线治疗药物

2015-08-30 MedSci MedSci原创

心包指南
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1、由于多中心随机对照试验的开展，2004年之后心包疾病的治疗有了长足进展。基于这些研究，秋水仙碱现被推荐为一线治疗药物——在首次发作心包炎或复发心包炎的患者中，秋水仙碱可加强患者对阿司匹林或非甾体抗炎药物的反应。 2、指南推荐，对于复发性心包炎的女性患者，应在疾病稳定期计划妊娠。指南还包括对于妊娠20周前/后、产后哺乳期间药物治疗选择的推荐。 3、急性心包炎的具体诊断标准获得新推荐——表

1、由于多中心随机对照试验的开展，2004年之后心包疾病的治疗有了长足进展。基于这些研究，秋水仙碱现被推荐为一线治疗药物——在首次发作心包炎或复发心包炎的患者中，秋水仙碱可加强患者对阿司匹林或非甾体抗炎药物的反应。

2、指南推荐，对于复发性心包炎的女性患者，应在疾病稳定期计划妊娠。指南还包括对于妊娠20周前/后、产后哺乳期间药物治疗选择的推荐。

3、急性心包炎的具体诊断标准获得新推荐——表现出以下情况中两项时可确诊：心包炎胸痛；心包摩擦；新的广泛ST段抬高或PR段下移；心包积液。复发性心包炎被定义为首次心包炎后，经4到6周无症状间隔，心包炎复发。

4、指南介绍了分诊心包炎与心包积液患者的最新策略。

5、目前为止仍缺乏强有力的循证依据指导高级别推荐的撰写。

指南下载：请下载MedSci医学APP，进入“发现”频道，里面有指南。ESC发布的最新指南均可以全部下载

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    2016-08-20 doctorJiangchao

    继续学习

    0

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    2016-08-20 doctorJiangchao

    继续关注

    0

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    2015-11-22 闆锋旦

    #一线治疗药物#

    0

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    2016-06-24 周虎

    #治疗药物#

    0