Tan Jih Huei, Ng Zi Qin, Tan Henry Chor Lip, Vendargon Simon
Department of Cardiothoracic Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia.
Royal Perth Hospital, Perth, Western Australia, Australia.
BMJ Case Rep. 2018 Jun 27;2018:bcr-2018-224741. doi: 10.1136/bcr-2018-224741.
A 72-year-old Chinese man presented with mild symptoms of heart failure. Transthoracic echocardiography showed signs of cardiac tamponade though clinically he was relatively well. The option of pericardiocentesis was not carried out due to a narrow window for aspiration with only a thin layer of effusion seen surrounding the apex and right ventricle on subcostal view.Pericardial window was done via a left anterolateral thoracotomy. Intraoperatively, 500 cm of purulent fluid was drained. Microbiology screens were all negative. We present the atypical clinical course of this elderly man presenting with a large pyopericardium.
一名72岁的中国男性出现轻度心力衰竭症状。经胸超声心动图显示有心包填塞迹象，尽管临床上他情况相对良好。由于抽吸窗口狭窄，在肋下视图中仅见心尖和右心室周围有一层薄薄的积液，因此未进行心包穿刺术。通过左前外侧开胸手术进行了心包开窗引流。术中引流出500毫升脓性液体。微生物筛查均为阴性。我们报告了这名患有大量脓性心包炎的老年男性的非典型临床病程。
