George Betsy Ann, Deprisco Gregory, Trotter James Ford, Henry Albert Carl, Stoler Robert Craig
Proc (Bayl Univ Med Cent). 2013 Apr;26(2):168-70. doi: 10.1080/08998280.2013.11928950.
Two men, one 63 and one 52 years old, presented with ascites. Analysis of the ascitic fluid in both patients revealed a high protein content and an elevated serum-ascites gradient. Various studies showed the cause of the ascites to be constrictive pericardial disease. Total excision of their parietal pericardia relieved their symptoms, decreased their cardiac filling pressures, and increased their cardiac indices. These cases highlight the importance of suspecting pericardial constriction as an etiology for high-protein-count ascites.
两名男性，分别为63岁和52岁，出现腹水症状。对两名患者的腹水分析显示蛋白含量高且血清腹水梯度升高。各项研究表明腹水的病因是缩窄性心包疾病。完全切除他们的壁层心包缓解了症状，降低了心脏充盈压，并提高了心脏指数。这些病例凸显了怀疑心包缩窄作为高蛋白腹水病因的重要性。
