Erlemeier H H, Schreiber C, Klöppel G, Bleese N, Kupper W, Bleifeld W
Z Kardiol. 1986 Jul;75(7):441-4.
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.
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。