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病例报告:一名呼吸困难患者反复发生心包积血的罕见病因。

Case Report: An Unusual Cause for Recurrent Hemopericardium in a Patient With Dyspnea.

作者信息

Nguyên Uyên Châu, Vernemmen Astrid I P, Segers Patrique, Zur Hausen Axel, Driessen Rob G H, Pluijmen Maurice J H M, Bekkers Sebastiaan C A M

机构信息

Department of Cardiology, Maastricht University Medical Center, Maastricht, Netherlands.

Department of Pathology, Maastricht University Medical Center, Maastricht, Netherlands.

出版信息

Front Cardiovasc Med. 2021 Nov 15;8:755106. doi: 10.3389/fcvm.2021.755106. eCollection 2021.

DOI:10.3389/fcvm.2021.755106
PMID:34869666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8634327/
Abstract

The case concerns a female presenting with dyspnoea resulting from recurrent hemopericardium. Pericardiocentesis, coronary angiography, and extensive laboratory and imaging studies did not reveal the underlying etiology of the hemopericardium. Only after repeat and exploratory surgery, diffuse venous pericardial hemorrhages with localized thrombi typical of angiosarcoma were discovered.

摘要

该病例涉及一名因复发性心包积血而出现呼吸困难的女性。心包穿刺、冠状动脉造影以及广泛的实验室和影像学检查均未揭示心包积血的潜在病因。直到再次进行 exploratory 手术(此处原文 exploratory 可能有误,推测应为 exploratory),才发现弥漫性静脉性心包出血以及血管肉瘤特有的局部血栓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/97047d87cc2f/fcvm-08-755106-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/c1758ae814f3/fcvm-08-755106-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/d774714f2037/fcvm-08-755106-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/97047d87cc2f/fcvm-08-755106-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/c1758ae814f3/fcvm-08-755106-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/d774714f2037/fcvm-08-755106-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/8634327/97047d87cc2f/fcvm-08-755106-g0003.jpg

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Front Cardiovasc Med. 2021 Nov 15;8:755106. doi: 10.3389/fcvm.2021.755106. eCollection 2021.
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本文引用的文献

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Cardiac angiosarcoma: A diagnostic and therapeutic challenge.心脏血管肉瘤:一项诊断与治疗挑战。
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