Cárdenas F, Navarro M, Silva A, Jalil J, Corbalán R
Pontificia Universidad Católica de Chile, Departamento de Enfermedades Cardiovasculares, Santiago.
Rev Med Chil. 1990 Oct;118(10):1138-42.
Cardiac tamponade during acute myocardial infarction is a life-threatening complication that can be confounded with right ventricular infarction. The most frequent cause of this complication is cardiac rupture. We report here a patient with acute myocardial infarction that developed cardiac tamponade on day 7, after receiving late systemic thrombolysis. The diagnosis was suspected with echocardiography and confirmed with hemodynamic measurements. The tamponade was partially relieved with pericardiocentesis but afterwards required emergency surgery. No cardiac rupture was found but an hemorrhagic infarction. We conclude that in this case the hemorrhagic tamponade was probably related both to late thrombolysis and to post infarction pericarditis.
急性心肌梗死期间的心包填塞是一种危及生命的并发症，可能与右心室梗死相混淆。这种并发症最常见的原因是心脏破裂。我们在此报告一名急性心肌梗死患者，在接受晚期全身溶栓治疗7天后发生心包填塞。通过超声心动图怀疑诊断，并通过血流动力学测量得到证实。心包穿刺术部分缓解了心包填塞，但随后需要紧急手术。未发现心脏破裂，但有出血性梗死。我们得出结论，在这种情况下，出血性心包填塞可能与晚期溶栓治疗和梗死后心包炎均有关。
