摘要
本文对２５例急性心包填塞的病因、诊断、临床表现、抢救措施及死因进行探讨，认为心包转移性肿瘤是本病最常见的原因。如肿瘤患者在病程中突然出现呼吸困难等类似心力衰竭症状，或感染性疾病突然出现休克综合征，应考虑为急性心包填塞。鉴别的最可靠方法是超声心动图检查。及时、可靠的心包穿刺引流是缓解急性心包填塞最有效的方法。
The etiology, diagnosis, clinical manifestation, emergency management, and cause of death of acute pericardial tamponade in 25 patients were studied. It was found that metastatic tumor is the most common cause of acute pericardial tamponade. If a patient with tumor suddenly develops respiratory distress like symptoms of heart failure or a patient with infectious disease suddenly develops symptoms of shock, the diagnosis of acute pericardial tamponade should be considered. The most reliable means for differentiation is echocardiography. Timely pericardiocentesis is the method of choice for relieving acute pericardial tamponade.
出处
《中国循环杂志》
CSCD
1994年第1期26-27,共2页
Chinese Circulation Journal
关键词
引流术
心包转移癌
心包渗液
渗塞
Acute pericardial tamponade
Pericardiocentesis
Metastatic tumor
