Spodick D H
University of Massachusetts Medical School, Worcester.
Crit Care Clin. 1989 Jul;5(3):455-76.
Critical care aspects of pericardial disease are covered, including diagnosis and differential diagnosis of acute pericarditis, pericardial effusion with and without cardiac tamponade, constrictive pericarditis and effusive-constrictive pericarditis. Emphasis is placed on clinical signs and the important invasive and noninvasive diagnostic procedures, particularly various imaging methods (emphasis on echocardiography), electrocardiography, and cardiac catheterization. Medical and surgical therapies are reviewed, and the technique of pericardiocentesis is presented.
本文涵盖心包疾病的重症监护方面,包括急性心包炎、伴有或不伴有心脏压塞的心包积液、缩窄性心包炎和渗出性缩窄性心包炎的诊断与鉴别诊断。重点介绍临床体征以及重要的有创和无创诊断程序,特别是各种成像方法(重点是超声心动图)、心电图和心导管检查。回顾了内科和外科治疗方法,并介绍了心包穿刺术的技术。