天津医药

天津医药 ›› 2020, Vol. 48 ›› Issue (6): 555-557.

• 临床研究 • 上一篇    下一篇

心脏损伤后综合征再发与治疗体会 #br#

殷鑫 1，2，张雨 1，邵玥明 1，高卉 3，秦婷婷 1，温晓玉 1△
  

  1. 1 吉林大学第一医院肝胆内科（邮编 130021）；2 成都市妇女儿童中心医院；3 泰安市立医院

  • 收稿日期:2019-09-26 修回日期:2020-04-24 出版日期:2020-06-15 发布日期:2020-06-15
  • 通讯作者: 殷鑫 E-mail:yinxinxgt@163.com
  • 基金资助:
    SALL4在肝癌发病中的作用及其纳米荧光检测体系的构建

The clinical experience of recurrence and treatment of post-cardiac injury syndrome #br#

YIN Xin1,2, ZHANG Yu1, SHAO Yue-ming1, GAO Hui3, QIN Ting-ting1, WEN Xiao-yu1△ #br#   

  1. 1 Department of Hepatology, the First Hospital of Jilin University, Changchun 130021, China;
    2 Chengdu Women    ’s and Children’s Central Hospital; 3 Taian Municipal Hospital
  • Received:2019-09-26 Revised:2020-04-24 Published:2020-06-15 Online:2020-06-15
  • Contact: Xin Yin E-mail:yinxinxgt@163.com

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摘要： 摘要：心脏损伤后综合征（PCIS）是指心脏受到各种损伤后出现的以心包、胸膜和肺实质炎症为主要表现的一组 综合征。本文报告1例41岁男性急性心肌梗死患者行冠脉支架植入术后发生高热、双侧胸腔积液、心包积液等临床 表现，院内给予激素治疗后好转出院。1个月后患者再次出现上述症状，经再次激素治疗，并合理调整激素用量后患 者恢复良好，随访未见异常。本文总结了该病的临床表现及诊治过程，以提高临床医生对该病的认识。

关键词: 心肌梗死, 甲泼尼龙, 复发, 心脏损伤后综合征, 多浆膜腔积液

Abstract: Abstract: Post-cardiac injury syndrome (PCIS) refers to a group of syndromes with hydropericardium, pleural effusion and pulmonary parenchyma inflammation as the main manifestation after heart injury. This paper reported a 41 years old male patient with acute myocardial infarction who developed high fever, bilateral pleural effusion, hydropericardium and other clinical manifestation after coronary stent implantation. The patient’s clinical symptoms improved after hormone treatment in the hospital. One month later, the patient reappeared the above symptoms. After hormone treatment again and reasonable adjustment of hormone dosage, the patient recovered well and no abnormality was found in the follow-up. This paper summarizes the clinical manifestations, diagnosis and treatment of the disease, in order to improve the clinicians’ understanding of the disease.

Key words: myocardial infarction, methylprednisolone, recurrence, post-cardiac injury syndrome, multiple serous
effusion