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右心房撕裂导致心包血肿时出现墨菲氏征阳性。

Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear.

作者信息

Sridhara Srilekha, Lichtenwalter Christopher, Mazdeh Shahnaz, Yeneneh Beeletsega T

机构信息

Internal Medicine, Banner Baywood Medical Center, Mesa, USA.

Cardiology, Banner Heart Hospital, Mesa, USA.

出版信息

Cureus. 2018 Oct 2;10(10):e3402. doi: 10.7759/cureus.3402.

DOI:10.7759/cureus.3402
PMID:30533336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6279000/
Abstract

A positive Murphy's sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy's sign not due to acute cholecystitis, but rather from a pericardial hematoma from a right atrial tear causing right heart failure. The patient required an atrial tear repair to prevent a cardiac tamponade.

摘要

右上腹腹痛患者出现墨菲氏征阳性是指在该象限深部触诊时吸气停止。这通常提示急性胆囊炎。我们报告一例罕见病例，墨菲氏征阳性并非由急性胆囊炎引起，而是由于右心房撕裂导致心包血肿，进而引起右心衰竭。患者需要进行心房撕裂修复以预防心脏压塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/880f2c2603c6/cureus-0010-00000003402-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/8bc8acd64d6c/cureus-0010-00000003402-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/8afabca7c550/cureus-0010-00000003402-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/853e9ac44577/cureus-0010-00000003402-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/880f2c2603c6/cureus-0010-00000003402-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/8bc8acd64d6c/cureus-0010-00000003402-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/8afabca7c550/cureus-0010-00000003402-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/853e9ac44577/cureus-0010-00000003402-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/6279000/880f2c2603c6/cureus-0010-00000003402-i04.jpg

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