[摘要]对我院心脏中心2018年5月诊断的1例心房颤动射频消融术后心脏损伤后综合征的临床资料进行回顾性分析，并对国内外相关文献进行复习。患者RFCA术后早期出现胸腔积液、炎性标志物升高，拟诊断为RFCA术所致心脏损伤后综合征(postcardiac injury syndrome，PCIS)，应用皮质类固醇激素后胸腔积液吸收。PCIS患者一般情况下预后良好。有明显发热、胸痛症状的患者，可予非甾体类消炎镇痛药物(如吲哚美辛)等对症处理。早期应用皮质类固醇激素对有心包积液和胸腔积液的患者有良好的治疗效果。

    [关键词] 心脏损伤后综合征;心房颤动射频消融术;非甾体类消炎镇痛药物

    [中图分类号] R541.7 [文献标识码] C [文章编号] 1673-9701(2020)03-0160-03

    [Abstract] The clinical data of a case of postcardiac injury syndrome after radiofrequency ablation of atrial fibrillation diagnosed in the cardiac center of our hospital in May 2018 were retrospectively reviewed. Relevant literatures at home and abroad were reviewed. The patient had pleural effusion and elevated inflammatory markers in the early stage after RFCA and was intended to diagnose postcardiac injury syndrome (PCIS) caused by RFCA. The pleural effusion was absorbed after application of corticosteroids. Patients with PCIS generally have a good prognosis. Patients with obvious symptoms of fever and chest pain can be treated with non-steroidal anti-inflammatory analgesics (such as indomethacin). Early application of corticosteroids has a good therapeutic effect in patients with pericardial effusion and pleural effusion. ......