Kashani I A, Higgins C B, Utley J R
Clin Pediatr (Phila). 1983 Mar;22(3):219-21. doi: 10.1177/000992288302200312.
A 13-year-old boy with active tuberculous constrictive pericarditis underwent complete pericardiectomy together with antituberculous therapy and a short course of steroids. Six weeks following the surgery, he was seen with clinical and hemodynamic findings of recurrent pericardial constriction, presumably due to an inflammatory collection around the heart. Symptoms gradually resolved within six months with resumption of steroid therapy. Repeat hemodynamic study showed normal hemodynamics. The case demonstrates the production of cardiac constriction by nonpericardial inflammatory tissue and the possible benefits of steroid therapy in the treatment of tuberculous constrictive pericarditis.
一名患有活动性结核性缩窄性心包炎的13岁男孩接受了心包全切除术，并接受了抗结核治疗和短期类固醇治疗。术后六周，他出现了复发性心包缩窄的临床和血流动力学表现，推测是由于心脏周围的炎性渗出所致。在恢复类固醇治疗后，症状在六个月内逐渐缓解。重复血流动力学研究显示血流动力学正常。该病例表明非心包炎性组织可导致心脏缩窄，以及类固醇治疗在结核性缩窄性心包炎治疗中可能具有的益处。
