Erdman S, Salomon J, Levy M J
Scand J Thorac Cardiovasc Surg. 1976;10(3):205-7. doi: 10.3109/14017437609167794.
Two patients, who suffered from pericardial tamponade in the course of prophylactic anticoagulant treatment, are reported. The mitral valve had been replaced by a prosthesis in both cases. The diagnosis was suspected clinically and radiologically and proven by pericardiocentesis. One of the patients was treated by a percutaneously inserted small polyethylene tube for continous drainage and the other by thoracotomy and partial pericardiectomy. Both patients recovered and are at present asymptomatic. Th mechanism of bleeding patients receiving anticoagulant therapy is briefly discussed.
本文报道了两名在预防性抗凝治疗过程中发生心包填塞的患者。两名患者均已行二尖瓣置换术。临床及影像学检查怀疑诊断，并经心包穿刺术证实。其中一名患者通过经皮插入一根小聚乙烯管进行持续引流治疗，另一名患者则接受了开胸手术和部分心包切除术。两名患者均康复，目前无症状。本文简要讨论了接受抗凝治疗患者出血的机制。
