急性心肌梗死合并激素戒断综合征一例-内科学（心血管内科）专业论文.docxVIP

浙江大学硕士学位论文 浙江大学硕士学位论文 中文摘要 急性心肌梗死合并激素戒断综合征一例 浙江大学医学院 心血管内科学 硕士研究生 王怡栋 指导老师 项美香 中文摘要 目的 急性心肌梗死(Acute myocardial infarction，AMI)是冠状动脉斑块破裂、血栓 形成继而堵塞冠状动脉导致心肌缺血和坏死的急性心血管事件，严重危害人类健 康和生命。心肌梗死后发热是常见的临床表现，多种原因可导致患者发热，例如 心肌梗死后综合征，感染等。激素戒断综合征(Steroid withdrawal syndrome，SWS) 是停用糖皮质激素后出现包括发热在内的一组症候群。本文旨在通过探讨一例急 性心肌梗死合并激素戒断综合征患者来全面认识心肌梗死后发热的病因和提高对 激素戒断综合症的认识。 【关键词】 发热，急性心肌梗死，激素戒断综合征 Ⅱ 万方数据 浙江大学硕士学位论文 浙江大学硕士学位论文 英文摘要 Acute myocardial infarction with steroid withdrawal syndrome： A ease report Zhej iang University School of Medicine Cardiology Postgraduate：Wang Yidong Supervisor：Xiang Meixiang Abstract objeetive：Acute myocardial infarction results from the plaque rupture and thrombosis in coronary artery，which occlude the coronary artery leading to the acute event caused by the cardiac ischemia and necrosis．It threatens human’S heakh and life． Myocardial infarction is commonly accompanied by fever，which can be caused by various etiologies including Dressler syndrome and infection．Steroid withdrawal syndrome is characterized by fever and other symptoms，evoked by abrupt cessation of steroid．This article aims to present of acute myocardial infarction with steroid withdrawal syndrome to understand the etiology of fever after myocardial infarction and increase the recognition of steroid withdrawal syndrome． 【Key wordsl Fever，Acute myocardial infarction，Steroid withdrawal syndrome Ⅲ 万方数据 塑垩奎兰堡主堂篁笙塞 塑垩奎兰堡主堂篁笙塞 主茎奎型墨丝!i!里墨 中英文对照 缩略词 英文全称 中文全称 ACTH adrenocorticotropic hormone 促肾上腺皮质激素 AMI acute myocardial infarction 急性心肌梗死 CK creatine kinase 肌酸激酶 CRP C-reactive protein C反应蛋白 CRH corticotropin teleasing hormone 促肾上腺皮质激素释放激素 ECG electrocardiograph 心电图 HPA．axis hypothalamus-·pituitary·-adrenal axis 下丘脑．垂体．肾上腺轴 IABP intra—aortic balloon pump 主动脉球囊反搏术 PCI percutaneous coronary intervention 经皮冠状动脉介入治疗 POMC proopiomelanocorthl 前阿黑皮素原 PTCA percutaneous translumina