Harada Tomohiro, Aoyagi Teruhiko, Endo Yoko, Uno Kansei, Takenaka Katsu, Nakamura Fumitaka, Sonoda Makoto, Takahashi Toshiyuki, Yamazaki Tadashi, Hiroi Yukio, Ohno Minoru, Hirata Yasunobu, Nagai Ryozo
Department of Cardiovascular Medicine, University of Tokyo, Japan.
Angiology. 2002 Jan-Feb;53(1):105-8. doi: 10.1177/000331970205300115.
A 59-year-old man had a history of rheumatoid arthritis. He presented with incurable pericardial effusion. He was repeatedly treated with pericardiocentesis with only transient attenuation of his symptoms because the underlying pericardial constriction had been overlooked. This time the authors diagnosed effusive constrictive pericarditis due to rheumatoid arthritis using the hemodynamic findings observed before and after pericardiocentesis.
一名59岁男性有类风湿关节炎病史。他因顽固性心包积液前来就诊。由于潜在的心包缩窄被忽视，他多次接受心包穿刺术治疗，症状仅得到短暂缓解。此次，作者根据心包穿刺术前后观察到的血流动力学结果，诊断该患者为类风湿关节炎所致的渗出性缩窄性心包炎。
