心脏移植术后细菌性心包炎：两例经导管引流及抗生素治疗成功的病例
Bacterial pericarditis after heart transplantation: successful management of two cases with catheter drainage and antibiotics.
作者信息
Davies R A, Newton G, Masters R G, Saginur R, Struthers C, Walley V M
机构信息
Department of Medicine, University of Ottawa Heart Institute, Ontario.
出版信息
Can J Cardiol. 1996 Jul;12(7):641-4.
OBJECTIVE
To describe the diagnosis and management of bacterial pericarditis after heart transplantation.
PATIENTS AND METHODS
Two patients with Staphylococcus aureus pericarditis after heart transplantation were successfully treated conservatively with closed catheter drainage and antibiotics.
RESULTS
The patients were alive three and six years, respectively, following surgery. At follow-up, right heart catheterization demonstrated normal hemodynamics in one patient and a pattern of constrictive pericarditis in the other patient which was man-aged with furosemide.
CONCLUSIONS
Conservative management of bacterial pericarditis by closed catheter drainage and antibiotics can be considered in selected patients after heart transplantation.
目的
描述心脏移植术后细菌性心包炎的诊断与处理。
患者与方法
两名心脏移植术后发生金黄色葡萄球菌性心包炎的患者通过闭式导管引流和抗生素治疗成功治愈。
结果
术后，两名患者分别存活了3年和6年。随访时，右心导管检查显示一名患者血流动力学正常，另一名患者有缩窄性心包炎表现，通过使用速尿进行处理。
结论
对于心脏移植术后的特定患者，可考虑通过闭式导管引流和抗生素对细菌性心包炎进行保守治疗。
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