Frangos F, Moret P R, Bouchardy B
Schweiz Med Wochenschr. 1977 Nov 5;107(44):1563-5.
101 cases of acute benign pericarditis covering a period of 18 years are reported, and it is stressed that 80% of patients who relapsed had been treated with corticosteroids. It was also found that corticotherapy did not favourably influence the evolution of the tamponade risk, the persistence of cardiomegaly or pericardic constriction. It is concluded that, except for a few well-defined indications, corticotherapy is to be avoided in the treatment of acute benign pericarditis because of the high risk of recurrence. Some suggestions regarding the indications for corticotherapy are presented.
报告了18年间101例急性良性心包炎病例,并强调复发患者中有80%曾接受皮质类固醇治疗。还发现皮质激素疗法对心包填塞风险的演变、心脏扩大或心包缩窄的持续存在没有有利影响。得出的结论是,除了少数明确的适应症外,由于复发风险高,在急性良性心包炎的治疗中应避免使用皮质激素疗法。文中还提出了一些关于皮质激素疗法适应症的建议。