本月病例 5：急性心肌梗死后心脏压塞：临床诊断
Lessons of the month 5: Cardiac tamponade after an acute myocardial infarction: the clinical diagnosis.
作者信息
Ahmed Nida, Ahmed Sabahat, Lashin Hazem
机构信息
Barts Health NHS Trust, London, UK
GKT School of Medical Education, London, UK.
出版信息
Clin Med (Lond). 2020 Mar;20(2):227-228. doi: 10.7861/clinmed.2019-0248.
Abstract
We present the case of a late presenting ST-elevation myocardial infarction with a coronary dissection. After primary percutaneous coronary intervention, the patient went on to develop pericardial effusion with tamponade. Despite only a small volume of fluid, we demonstrate how it can have significant clinical consequences in the diseased heart. We also highlight the value of being able to carry out bedside echocardiography in the acutely unwell post-myocardial infarction patient.
摘要
我们报告一例表现为冠状动脉夹层的延迟性ST段抬高型心肌梗死病例。在进行直接经皮冠状动脉介入治疗后，患者继而出现心包积液伴心包填塞。尽管积液量很少，但我们展示了其在患病心脏中如何产生显著的临床后果。我们还强调了对急性心肌梗死后病情不稳定的患者进行床旁超声心动图检查的价值。
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