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病例报告:一例心包积液患者就诊于基层医疗单位。

Case report: A case of pericardial effusion presenting to primary care.

作者信息

Devaraj N K

机构信息

Universiti Putra Malaysia, Department of Family Medicine, Malaysia.

出版信息

Med J Malaysia. 2017 Aug;72(4):252-253.

Abstract

This is a rare but interesting case of Mr. MZ who had a lifethreatening pericardial effusion presenting to the primary care clinic. Through great clinical acumen and prudent targeted investigations, diagnosis of this rare condition was reached and urgent referral made to the cardiology team which performed an emergency pericardiocentesis which proved to be life -saving. However, the hovering poor prognosis of Mr. MZ may prompt for a referral to the palliative care team to provide quality end of life care for this unfortunate patient.

摘要

这是MZ先生的一个罕见但有趣的病例,他因危及生命的心包积液到基层医疗诊所就诊。凭借出色的临床敏锐度和审慎的针对性检查,确诊了这种罕见病症,并紧急转诊至心脏病学团队,该团队进行了紧急心包穿刺术,结果证明这挽救了患者生命。然而,MZ先生预后不佳的情况可能促使转诊至姑息治疗团队,为这位不幸的患者提供优质的临终关怀。

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