Peterson Polly B, Miller Matthew W, Hansen Eric K, Henry George A
Departments of Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, Texas 77843-4474, USA.
J Am Anim Hosp Assoc. 2003 Nov-Dec;39(6):528-32. doi: 10.5326/0390528.
A 7-year-old, female spayed rottweiler was referred with a history of an acute onset of collapse attributable to cardiac tamponade. Thoracic radiographs revealed an enlarged cardiac silhouette compatible with pericardial effusion, sternal osteomyelitis, and an unusual mineralized lesion determined later to be within the aortic wall. The pericardial effusion was a septic exudate secondary to infection with Staphylococcus species and hemorrhage into the pericardium through a mineralized aortic lesion. The case demonstrates the importance of complete evaluation of thoracic radiographs in a patient with cardiac disease and the potential value of cytopathological evaluation of pericardial fluid.
一只7岁已绝育的雌性罗威纳犬因急性心脏压塞导致虚脱前来就诊。胸部X光片显示心脏轮廓增大，符合心包积液、胸骨骨髓炎以及后来确定位于主动脉壁内的异常矿化病变。心包积液是由葡萄球菌感染继发的化脓性渗出物，并通过矿化的主动脉病变出血至心包。该病例表明对患有心脏病的患者进行胸部X光片全面评估的重要性以及心包液细胞病理学评估的潜在价值。
