Windsor H M, Shanahan M X, Chang V P
Med J Aust. 1976 Dec 4;2(23):859-62. doi: 10.5694/j.1326-5377.1976.tb115444.x.
Three allied conditions are described in this paper: (i) haemopericardium with cardiac rupture (5 cases); (ii) haemopericardium without rupture (2 cases); (iii) pseudoaneurysm (1 case). In the first 2 of these, the significant features were clinical deterioration with shock 3 or more days after infarction, recurrent cardiac pain, cardiac tamponade, and immediate or later ineffectiveness of counterpulsation. An additional feature in the second group was the development of haemopericardium after heparin therapy. In the third group, infarction followed by left ventricular failure and progressive cardiac enlargement was the significant feature. An apical systolic murmur was not present, as a false sac had not been formed. Ante-mortem diagnosis depends upon an appreciation of these features. Without it successful surgery is impossible. There were 4 survivors in this group of 8 patients.
（i）伴有心脏破裂的心包积血（5例）；（ii）无破裂的心包积血（2例）；（iii）假性动脉瘤（1例）。在前两种病症中，显著特征为梗死3天或更长时间后出现临床恶化并伴有休克、反复心前区疼痛、心脏压塞以及反搏术即刻或随后失效。第二组的一个额外特征是肝素治疗后出现心包积血。在第三组中，梗死继以左心衰竭和进行性心脏扩大是显著特征。由于未形成假囊，未闻及心尖收缩期杂音。生前诊断取决于对这些特征的认识。没有这一点，成功的手术是不可能的。这8例患者中有4例存活。
