Borkowski M A, Weinhouse E, Sarff L
Department of Pediatrics, Medical College of Wisconsin, Milwaukee 53226.
Wis Med J. 1991 Feb;90(2):61-3.
A 16-year-old male was transferred to Children's Hospital of Wisconsin (CHW) after 17 days of fever of unknown origin. An echocardiogram revealed a small pericardial effusion only. Serial echocardiography demonstrated an increased size of this effusion with collapse of the right atrium during diastole. A subxiphoid open pericardiostomy was performed to relieve the impending tamponade and to assist in the diagnosis of his fever. The diagnostic criteria for cardiac tamponade are discussed.
一名16岁男性在不明原因发热17天后被转至威斯康星儿童医院（CHW）。超声心动图仅显示少量心包积液。系列超声心动图检查显示该积液量增加，舒张期右心房塌陷。遂行剑突下心包切开术以缓解即将发生的心包填塞并协助诊断其发热原因。文中讨论了心脏压塞的诊断标准。
