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微创漏斗胸修复术后心包切开术后综合征,对非甾体抗炎治疗无反应。

Postpericardiotomy syndrome after minimally invasive pectus excavatum repair unresponsive to nonsteroidal anti-inflammatory treatment.

作者信息

Muensterer O J, Schenk D S, Praun M, Boehm R, Till H

机构信息

Department of Paediatric Surgery, Dr. von Hauner Children's Hospital, University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany.

出版信息

Eur J Pediatr Surg. 2003 Jun;13(3):206-8. doi: 10.1055/s-2003-41269.

DOI:10.1055/s-2003-41269
PMID:12939707
Abstract

A 14-year-old boy developed postpericardiotomy syndrome after an otherwise uneventful minimally invasive pectus excavatum repair. Dyspnoea, chest pain, and pericardial effusion progressed despite nonsteroidal anti-inflammatory treatment. The symptoms rapidly resolved with intravenous methylprednisolone, and pericardiocentesis was thus avoided. This is the first report of postpericardiotomy syndrome after the Nuss procedure treated with systemic steroids.

摘要

一名14岁男孩在进行了一次原本顺利的微创漏斗胸修复手术后出现了心包切开术后综合征。尽管进行了非甾体抗炎治疗,但呼吸困难、胸痛和心包积液仍在进展。静脉注射甲泼尼龙后症状迅速缓解,从而避免了心包穿刺。这是关于采用全身类固醇治疗努氏手术后心包切开术后综合征的首例报告。

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引用本文的文献

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Clin Case Rep. 2024 Mar 7;12(3):e8650. doi: 10.1002/ccr3.8650. eCollection 2024 Mar.
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Postpericardiotomy syndrome after cardiac surgery.心脏手术后心包切开综合征。
Ann Med. 2020 Sep;52(6):243-264. doi: 10.1080/07853890.2020.1758339. Epub 2020 May 2.
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Massive pericardial effusion after Nuss procedure: to drain or not to drain?努氏手术后大量心包积液:引流还是不引流?
J Thorac Dis. 2018 Jan;10(1):E27-E30. doi: 10.21037/jtd.2017.11.131.
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Pleural and pericardial morbidity after minimal access repair of pectus excavatum.
Langenbecks Arch Surg. 2009 Jul;394(4):717-21. doi: 10.1007/s00423-008-0448-6. Epub 2008 Dec 18.
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Early complications of the Nuss procedure for pectus excavatum: a prospective study.漏斗胸畸形Nuss手术的早期并发症:一项前瞻性研究。
Pediatr Surg Int. 2008 Jun;24(6):659-66. doi: 10.1007/s00383-008-2106-z. Epub 2008 Apr 5.