Zelcer A A, LeJemtel T H, Jones J, Stahl J
Can J Cardiol. 1987 Jan-Feb;3(1):12-3.
A woman with a three month history of progressive right heart failure was found to have sarcoid pericarditis complicated by pericardial tamponade. The pericardial fluid was serosanguineous, and numerous nodules were noted on the parietal and visceral pericardium. Non-caseating granulomas were found in biopsy specimens of the pericardium, lung and skin. Right-sided heart failure in sarcoidosis is usually attributed to cor pulmonale or primary myocardial sarcoid. Pericardial tamponade should be considered in patients who present with sarcoidosis complicated by right heart failure.
一名有3个月进行性右心衰竭病史的女性被发现患有结节病性心包炎并伴有心包填塞。心包积液为血性浆液性，在脏层和壁层心包上发现了许多结节。在心包、肺和皮肤的活检标本中发现了非干酪样肉芽肿。结节病导致的右心衰竭通常归因于肺心病或原发性心肌结节病。对于出现结节病合并右心衰竭的患者，应考虑心包填塞的可能。
