Mangan C M
Northwestern Memorial Hospital, Chicago, IL.
Oncol Nurs Forum. 1992 Sep;19(8):1215-21.
Cardiac tamponade resulting from malignant pericardial effusions is a life-threatening oncologic emergency. As many as 21% of all patients with cancer may be at risk for this complication. A malignant effusion often signifies progressing disease, creating stress and anxiety for patients and their families. By understanding the pathophysiology and pertinent risk factors, the nurse may identify an effusion before it progresses to cardiac tamponade. The goal of management is removal of fluid, restoration of hemodynamic functioning, and prevention of fluid reaccumulation. Emotional support and reassurance, as well as accurate information regarding the disease and treatment, also are critical in assisting patients to adapt to these changes in disease status.
恶性心包积液导致的心包填塞是一种危及生命的肿瘤急症。所有癌症患者中多达21%可能有发生这种并发症的风险。恶性积液往往意味着疾病进展，给患者及其家人带来压力和焦虑。通过了解病理生理学和相关风险因素，护士可以在积液进展为心包填塞之前识别出来。治疗的目标是清除液体、恢复血流动力学功能并防止液体再次积聚。情感支持和安慰，以及关于疾病和治疗的准确信息，对于帮助患者适应疾病状态的这些变化也至关重要。
