Florijn K W, Meeter K
Afd. Inwendige Geneeskunde, Academisch Ziekenhuis Rotterdam-Dijkzigt.
Ned Tijdschr Geneeskd. 1990 Jun 16;134(24):1183-6.
The postpericardiotomy syndrome occurs frequently after cardiac surgery, and shows a strong tendency to recur. It is characterized by febrile illness with an elevated erythrocyte sedimentation rate, leucocytosis, and symptoms of pulmonary and pleuro-pericardial inflammation. Pleural effusion is a common manifestation of this syndrome, and is usually left-sided. We describe a patient who shows a periodic left-sided pleural effusion with an interval of 5 to 6 weeks 18 months after cardiac surgery. This is the first description of a 'cyclic' pleural effusion due to the postpericardiotomy syndrome. On the basis of this case report and the literature, we discuss the pathogenesis, therapy and clinical outcome of this syndrome.
心包切开术后综合征常在心脏手术后频繁发生，且有很强的复发倾向。其特征为发热性疾病，伴有红细胞沉降率升高、白细胞增多以及肺部和胸膜心包炎症的症状。胸腔积液是该综合征的常见表现，通常为左侧。我们描述了一名患者，在心脏手术后18个月出现周期性左侧胸腔积液，间隔为5至6周。这是首次对心包切开术后综合征所致“周期性”胸腔积液的描述。基于本病例报告及文献，我们讨论了该综合征的发病机制、治疗及临床结果。
