Agrawal S, Radhakrishnan S, Sinha N
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Int J Cardiol. 1990 Feb;26(2):240-1. doi: 10.1016/0167-5273(90)90045-7.
A patient with tuberculous pericardial effusion is described who presented with cardiac tamponade. Subsequent to pericardiocentesis, a large echodense intrapericardial mass was observed which disappeared completely with antituberculous chemotherapy. The resolution of the mass suggests that it was a conglomeration of fibrinous exudates deposited in the pericardial cavity. Presence of such exudates should not be considered an indication for surgical intervention.
本文描述了一名患有结核性心包积液并出现心脏压塞的患者。心包穿刺术后，观察到心包腔内有一个大的回声致密肿块，抗结核化疗后该肿块完全消失。肿块的消退表明它是沉积在心包腔内的纤维蛋白渗出物的聚集。这种渗出物的存在不应被视为手术干预的指征。
