Hesselink D A, Van Der Klooster J M, Bac E H, Scheffer M G, Brouwers J W
Department of Internal Medicine, Medisch Centrum Rijnmond-Zuid, Rotterdam, The Netherlands.
Eur J Emerg Med. 2001 Sep;8(3):237-9. doi: 10.1097/00063110-200109000-00014.
A 69-year-old woman was hospitalized because of a left-sided pneumothorax due to chronic obstructive pulmonary disease. During chest tube placement she developed hypotension and a decrease in peripheral oxygen saturation. A diagnosis of heart tamponade was made and the patient was treated successfully with pericardiocentesis and placement of a pericardial drain. Cardiac tamponade following chest tube placement is a rare and serious complication. When the clinical condition deteriorates following chest tube insertion, cardiac tamponade should be considered.
一名69岁女性因慢性阻塞性肺疾病导致左侧气胸而住院。在放置胸管期间，她出现低血压和外周血氧饱和度下降。诊断为心脏压塞，患者通过心包穿刺术和放置心包引流管得到成功治疗。胸管放置后发生心脏压塞是一种罕见且严重的并发症。当胸管插入后临床状况恶化时，应考虑心脏压塞。
