Merrill W, Donahoo J S, Brawley R K, Taylor D
J Thorac Cardiovasc Surg. 1976 Dec;72(6):929-32.
Cardiac tamponade occurring late after open-heart surgery is a frequently fatal complication. Of the 13 cases previously reported in the literature, there were seven deaths. In this report, three additional patients with late cardiac tamponade successfully treated are presented. Postoperative anticoagulation with Coumadin appeared to contribute to this complication. Increased awareness of late cardiac tamponade allowing prompt recognition and immediate decompression of the pericardial sac should lower the high mortality rate previously associated with the condition.
心脏直视手术后晚期发生的心包填塞是一种常致命的并发症。文献中先前报道的13例病例中有7例死亡。在本报告中，又介绍了3例成功治疗的晚期心包填塞患者。术后使用香豆素抗凝似乎促成了这一并发症。提高对晚期心包填塞的认识，以便能迅速识别并立即解除心包腔压力，应能降低先前与该病症相关的高死亡率。
