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心肌梗死后心脏压塞:心包穿刺术及手术治疗

Cardiac tamponade following infarction: management with pericardiocentesis and surgery.

作者信息

Limaye S B, Stubberfield J

出版信息

Aust N Z J Med. 1985 Aug;15(4):446-8. doi: 10.1111/j.1445-5994.1985.tb02771.x.

Abstract

Four patients with cardiac tamponade following myocardial infarction are presented. Diagnostic clinical features and the role of echocardiography are discussed. Pericardiocentesis resulted in rapid improvement in clinical state but frequently tamponade recurred. Surgery was undertaken in three patients and two have survived long term. If promptly recognised, tamponade following myocardial infarction may be treated.

摘要

本文介绍了4例心肌梗死后发生心脏压塞的患者。讨论了诊断性临床特征及超声心动图的作用。心包穿刺术使临床状态迅速改善,但心脏压塞常复发。3例患者接受了手术治疗,2例长期存活。如果能及时识别,心肌梗死后的心脏压塞是可以治疗的。

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