Yang Ming-Hsin, Cheng Yeung-Leung, Tsai Chien-Sung, Li Chung-Yi
Divisions of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Heart Surg Forum. 2008;11(2):E129-31. doi: 10.1532/HSF98.20071217.
A 22-year-old man presented at our emergency department with clinical signs of cardiac tamponade that required emergency surgery. We treated this patient by using emergency echocardiographically guided pericardiocentesis with insertion of a central venous catheter for drainage without removal of the steel bar. The causes of his pericardial effusion appeared to have been displacement of the bar from a pectus excavatum repair 6 months previously and his ingestion of ginseng extract. This case illustrates a possible cause of cardiac tamponade after the Nuss procedure and a simple way to manage it.
一名22岁男性因心脏压塞的临床症状就诊于我院急诊科，需要进行紧急手术。我们对该患者采用了急诊超声心动图引导下的心包穿刺术，插入中心静脉导管进行引流，而未取出钢筋。其心包积液的原因似乎是6个月前漏斗胸修复术中钢筋移位以及他服用了人参提取物。该病例说明了努氏手术后心脏压塞的一种可能原因以及一种简单的处理方法。
