Mazurek B, Jehle D, Martin M
Division of Emergency Medicine, Allegheny General Hospital, Martinsville, VA.
J Emerg Med. 1991 Jan-Apr;9(1-2):27-31. doi: 10.1016/0736-4679(91)90528-n.
A 44-year-old male presented to the emergency department in shock with jugular venous distension and upper chest cyanosis. Superior vena cava syndrome was ruled out by computed tomography (CT scan). However, a large pericardial effusion was found on CT scan and confirmed by sonography. Pericardial tamponade was diagnosed by emergency physicians and sonography-guided pericardiocentesis was performed with marked improvement in symptomatology.
一名44岁男性因休克、颈静脉怒张和上胸部发绀被送至急诊科。计算机断层扫描（CT扫描）排除了上腔静脉综合征。然而，CT扫描发现大量心包积液，并经超声检查证实。急诊医生诊断为心包填塞，并进行了超声引导下心包穿刺术，症状明显改善。
