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首页> 外文期刊>Rheumatology international. >Successful treatment of refractory cardiac tamponade due to rheumatoid arthritis using pericardial drainage.
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Successful treatment of refractory cardiac tamponade due to rheumatoid arthritis using pericardial drainage.

机译:使用心包引流术成功治疗由类风湿性关节炎引起的难治性心脏压塞。

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摘要

Rheumatoid pericarditis occurs in patients with rheumatoid arthritis (RA). However, cardiac tamponade due to rheumatoid pericarditis is rare; we describe a case of a 72-year-old man with a 6-year history of rheumatoid arthritis who developed rheumatoid pericarditis with recurrent cardiac tamponade. The patient experienced relapse of the cardiac tamponade despite treatment with pericardiocentesis. Therefore, the patient underwent surgical pericardial drainage. The patient was also subsequently treated with increasing doses of corticosteroid, methotrexate and leukocytapheresis. These treatments resulted in a successful outcome without any complication. This case suggests that in addition to immunosuppressive therapy, pericardial drainage should be considered in the treatment of life-threatening refractory cardiac tamponade caused by rheumatoid arthritis.
机译:类风湿性心包炎发生在类风湿关节炎(RA)患者中。然而,由于类风湿性心包炎引起的心脏压塞很少。我们描述了一例患有类风湿关节炎6年病史的72岁男性,该患者发展为类风湿性心包炎并伴有心脏压塞。尽管进行了心包穿刺术,患者仍经历了心脏压塞的复发。因此,患者接受了手术性心包引流。随后,该患者还接受了越来越大剂量的皮质类固醇,甲氨蝶呤和白细胞穿刺术治疗。这些治疗导致成功的结果,没有任何并发​​症。该病例表明,除了免疫抑制治疗外,在治疗由类风湿性关节炎引起的危及生命的难治性心脏压塞时,还应考虑心包引流。

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