Fouchard J, Joly J, Rousseau J, Herreman F, Sol C
Sem Hop. 1978;54(41-42):1283-7.
The cardiac complications of radiotherapy of the thorax (e.g. for Hodgkin's disease and carcinoma of the breast) are various: 1) Pleural effusions, occurring a few months to two years after radiotherapy, spontaneously curable but may give signs of tamponnade or lead to constriction. 2) Constrictive pericarditis often several years after irradiation, with a poor prognosis in spite of attempts at pericardectomy which is indicated at the stage of hemodynamic constriction. 3) Myocardial involvement with advanced fibrosis and with various clinical presentations. The failure of pericardectomy and mitral incompetence were evidence of myocarditis in the case reported here.
胸部放疗（如用于霍奇金病和乳腺癌）的心脏并发症多种多样：1）胸腔积液，在放疗后数月至两年出现，可自发治愈，但可能出现心脏压塞体征或导致缩窄。2）缩窄性心包炎常在放疗后数年发生，尽管在血流动力学缩窄阶段进行心包切除术，但预后仍差。3）心肌受累伴晚期纤维化，有多种临床表现。本文报道的病例中心包切除术失败和二尖瓣关闭不全是心肌炎的证据。
