Bernal Juan M, Pradhan Jyotiranjan, Li Tao, Tchokonte Ronny, Afonso Luis
Department of Internal Medicine, Wayne State University, Detroit, MI 48201, USA.
Can J Cardiol. 2007 Dec;23(14):1155-6. doi: 10.1016/s0828-282x(07)70887-5.
Pericardiocentesis for therapeutic drainage of pericardial fluid may be associated with a variety of complications, including laceration of the right ventricle or coronary artery, arrhythmias, viscus perforation, hypotension, pneumothorax, adult respiratory distress syndrome and death. Hemodynamic derangements such as acute left ventricular failure, pulmonary edema and cardiogenic shock are infrequent and, hence, less well recognized. The present report describes a patient with pericardial effusion and tamponade who developed cardiogenic shock requiring inotropic support shortly following uncomplicated ultrasound-guided pericardial drainage.
用于心包积液治疗性引流的心包穿刺术可能会伴有多种并发症，包括右心室或冠状动脉撕裂、心律失常、脏器穿孔、低血压、气胸、成人呼吸窘迫综合征和死亡。诸如急性左心室衰竭、肺水肿和心源性休克等血流动力学紊乱并不常见，因此人们对其认识不足。本报告描述了一名心包积液和心脏压塞患者，在无并发症的超声引导下心包引流后不久出现心源性休克，需要使用正性肌力药物支持。
