一名儿童因亚急性渗出性缩窄性心包炎导致严重心力衰竭。
Severe heart failure due to subacute effusive-constrictive pericarditis in a child.
作者信息
Suita C, Shiraishi I, Tanaka T, Shuntoh K, Yamagishi M, Hamaoka K
机构信息
Department of Pediatric Cardiology and Nephrology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan.
出版信息
Pediatr Cardiol. 2005 Jan-Feb;26(1):101-3. doi: 10.1007/s00246-003-0697-7.
We report a 9-year-old boy with progressive heart failure due to effusive-constrictive pericarditis. The patient was successfully rescued by extensive surgical removal of the thickened pericardium. The histopathological examination revealed degenerative changes of myocardium without significant inflammation, indicating that surgical pericardiectomy should be performed for subacute effusive-constrictive pericarditis before progression to definite constrictive pericarditis.
我们报告了一名因渗出性缩窄性心包炎导致进行性心力衰竭的9岁男孩。该患者通过广泛手术切除增厚的心包成功获救。组织病理学检查显示心肌有退行性改变，但无明显炎症，这表明对于亚急性渗出性缩窄性心包炎，应在进展为明确的缩窄性心包炎之前进行心包切除术。
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