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法洛四联症患者心脏手术后的心包切开术后综合征

Post-pericardiotomy syndrome following cardiac surgery in a patient with the tetralogy of Fallot.

作者信息

VOUDOUKIS I J

出版信息

Can Med Assoc J. 1962 Dec 29;87(26):1390-1.

PMID:13997989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1920888/
Abstract

A 7-year-old white girl who underwent open heart surgery for tetralogy of Fallot subsequently developed the post-pericardiotomy syndrome. In addition to pericarditis, other factors, such as surgical trauma to the pleura, pleural effusion with loculated fluid and perhaps atelectasis with pneumonitis, may contribute to the establishment of this syndrome. Despite the presence of chest pain and a high fever, the overall course of this illness is benign. Antibiotics are ineffective, whereas steroids when given in adequate dosage may be successful in terminating this complication.

摘要

一名7岁白人女孩因法洛四联症接受了心脏直视手术,随后出现了心包切开术后综合征。除了心包炎外,其他因素,如胸膜的手术创伤、伴有包裹性积液的胸腔积液以及可能的肺不张合并肺炎,都可能促使该综合征的发生。尽管存在胸痛和高热,但这种疾病的总体病程是良性的。抗生素无效,而给予足够剂量的类固醇可能成功终止这种并发症。

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本文引用的文献

1
Postpericardiotomy syndrome following surgery for nonrheumatic heart disease.
Circulation. 1958 Apr;17(4, Part 1):549-56. doi: 10.1161/01.cir.17.4.549.
2
The postcommissurotomy syndrome.胼胝体切开术后综合征
Br Heart J. 1956 Apr;18(2):153-65. doi: 10.1136/hrt.18.2.153.
3
Reactivation of rheumatic fever following mitral commissurotomy.二尖瓣交界切开术后风湿热复发
AMA Arch Surg. 1955 Oct;71(4):512-7. doi: 10.1001/archsurg.1955.01270160038004.