Wendelin G, Fandl A, Beitzke A
Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Medical University of Graz, Auenbruggerplatz 30, 8036, Graz, Austria.
Pediatr Cardiol. 2008 Mar;29(2):463-4. doi: 10.1007/s00246-007-9025-y.
Postpericardiotomy syndrome is a frequent complication following cardiac surgery. It is characterized by fever, chest pain, pericardial friction rub or pericardial effusion, and laboratory signs of inflammation. Treatment includes the use of nonsteroidal antiinflammatory agents, corticosteroids, and pericardial drainage. We describe a patient with chronic postpericardiotomy syndrome and steroid dependency who was successfully treated by single administration of high-dose intravenous immunoglobulin.
心包切开术后综合征是心脏手术后常见的并发症。其特征为发热、胸痛、心包摩擦音或心包积液，以及炎症的实验室指标。治疗包括使用非甾体类抗炎药、皮质类固醇和心包引流。我们描述了一名患有慢性心包切开术后综合征且依赖类固醇的患者，该患者通过单次大剂量静脉注射免疫球蛋白成功治愈。
