المتلازمات الطبية

متلازمة درسلر | Dressler Syndrome

حسان الضويحي

متلازمة دريسلر (بالإنجليزي: Dressler's syndrome) هي متلازمة نادرة الحدوث , تعرف أيضا بالمتلازمة التالية لاحتشاء العضلة القلبية (النوبة القلبية).^[1]

وصفها لأول مرة وليام دريسللر عام 1956 ^[2]^[3]^[4] وهي مختلفة عن متلازمة دريسلر لأمراض الدم التي وصفها لوكاس دريسلر عام 1854.^[5]^[6]

الأعراض و التشخيص[عدل]

تحدث متلازمة دريسلر في حوالي 7% من حالات احتشاء عضلة القلب (النوبة القلبية).^[7] غالبا ماتظهر أعراض المتلازمة خلال أسبوعين بعد احتشاء عضلة القلب و قد تتأخر بضعة أشهر.

الأعراض[عدل]

من ضمن هذه الأعراض: احتكاك التامور أو اندحاس التامور أو/و انصباب التامور.

التشخيص[عدل]

يعاني المصابون بمتلازمة دريسلر من حمى و انخفاض درجة الحرارة و ألم في الصدر .

الأسباب[عدل]

يُعتقد أن متلازمة دريسلر تحدث نتيجة التهاب التامور بعد جراحة القلب نتيجة رد فعل المناعة الذاتية على المستضدات الجديدة المتشكلة بعد النوبة القلبية (بالإنجليزية: Myocardial infarction)‏.

العلاج[عدل]

مضادات الالتهاب غير الستيروئيدية مثل الأسبيرين أو الكورتيزون,^[8] وفي حالات نادرة يلجأ إلى الجراحة حيث يتم تقشير التامور أو استئصاله.

المراجع

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_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image61', 'sec_Addon_Widgets', document.getElementById('Image61'), {'resize': false}, 'displayModeFull'));
</script>
</body>