Department of Cardiovascular Medicine, Creighton University Medical Center, Omaha, NE 68131, USA.
Cardiol Res Pract. 2011 Jan 18;2011:247814. doi: 10.4061/2011/247814.
Acute cardiac tamponade requires urgent diagnosis and treatment. Spontaneous hemopericardium leading to cardiac tamponade as an initial manifestation of essential thrombocythemia (ET) has never been reported in the literature. We report a case of a 72-year-old Caucasian female who presented with spontaneous hemopericardium and tamponade requiring emergent pericardiocentesis. The patient was subsequently diagnosed to have ET. ET is characterized by elevated platelet counts that can lead to thrombosis but paradoxically it can also lead to a bleeding diathesis. Physicians should be aware of this complication so that timely life-saving measures can be taken if this complication arises.
急性心脏压塞需要紧急诊断和治疗。自发性血心包导致心脏压塞作为原发性血小板增多症（ET）的初始表现，在文献中从未有过报道。我们报告了一例 72 岁的白人女性，她因自发性血心包和心脏压塞而紧急心包穿刺。患者随后被诊断为 ET。ET 的特征是血小板计数升高，可导致血栓形成，但矛盾的是，它也可导致出血倾向。医生应该意识到这种并发症，如果出现这种并发症，应及时采取救生措施。
