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[胸膜和纵隔纤维化累及心包外层导致失代偿性心力衰竭]

[Pleural and mediastinal fibrosis with involvement of the external pericardium as a cause of decompensated heart failure].

作者信息

Erlemeier H H, Schreiber C, Klöppel G, Bleese N, Kupper W, Bleifeld W

出版信息

Z Kardiol. 1986 Jul;75(7):441-4.

PMID:3765769
Abstract

Symptoms of cardiac failure were observed in a 60-year-old man 38 years after the therapy of cavernous tuberculosis of the right upper lobe with a paraffin oil plomb. The irritation by the paraffin oil induced a pleural and mediastinal fibrosis involving the pericardium. The rigid pericardium enclosed the heart and caused biventricular cardiac failure by the impaired diastolic filling. Possibilities of medical and surgical treatment are discussed.

摘要

一名60岁男性在右上叶海绵状结核采用石蜡油填充治疗38年后出现心力衰竭症状。石蜡油刺激导致胸膜和纵隔纤维化,累及心包。坚硬的心包包裹心脏,因舒张期充盈受损导致双心室心力衰竭。文中讨论了药物和手术治疗的可能性。

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