Ruwald Martin Huth, Bruun Niels
Kardiologisk Afdeling P, Gentofte Hospital, 2900 Hellerup, Denmark.
Ugeskr Laeger. 2012 Apr 9;174(15):1027-8.
Purulent pericarditis is a rare entity in the modern antibiotic era. Despite advances in treatment and diagnostics, purulent pericarditis remains a life-threatening disease. We present a case with cardiac tamponade due to purulent pericarditis caused by Streptococcus pneumoniae. A 67 year-old woman was admitted with massive pericardial fluid. The patient was treated successfully with drainage and intravenous penicillin. Due to the high mortality of this disease, early diagnosis, aggressive pericardial drainage and appropriate antibiotic therapy are essential.
在现代抗生素时代，脓性心包炎是一种罕见的病症。尽管在治疗和诊断方面取得了进展，但脓性心包炎仍然是一种危及生命的疾病。我们报告一例由肺炎链球菌引起的脓性心包炎导致心脏压塞的病例。一名67岁女性因大量心包积液入院。该患者通过引流和静脉注射青霉素成功治愈。由于这种疾病的高死亡率，早期诊断、积极的心包引流和适当的抗生素治疗至关重要。
