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心脏直视手术后心包内血肿的检测:超声心动图和计算机断层扫描的作用

Detection of intrapericardial hematoma after open heart surgery: the roles of echocardiography and computed tomography.

作者信息

Fyke F E, Tancredi R G, Shub C, Julsrud P R, Sheedy P F

出版信息

J Am Coll Cardiol. 1985 Jun;5(6):1496-9. doi: 10.1016/s0735-1097(85)80369-7.

DOI:10.1016/s0735-1097(85)80369-7
PMID:3873483
Abstract

Two patients who had right atrial compression caused by intrapericardial hematomas after coronary artery bypass grafting and aortic valve replacement are described. During the course of postoperative evaluation, each patient underwent an echocardiographic examination followed by computed tomography of the chest. Two-dimensional echocardiography visualized the hematomas in both cases. Computed tomography played a useful adjunctive role by further clarifying their nature, location and extent.

摘要

本文描述了两名在冠状动脉搭桥术和主动脉瓣置换术后因心包内血肿导致右心房受压的患者。在术后评估过程中,每名患者均接受了超声心动图检查,随后进行了胸部计算机断层扫描。二维超声心动图在两例中均显示了血肿。计算机断层扫描通过进一步明确血肿的性质、位置和范围发挥了有益的辅助作用。

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1
Detection of intrapericardial hematoma after open heart surgery: the roles of echocardiography and computed tomography.心脏直视手术后心包内血肿的检测:超声心动图和计算机断层扫描的作用
J Am Coll Cardiol. 1985 Jun;5(6):1496-9. doi: 10.1016/s0735-1097(85)80369-7.
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引用本文的文献

1
Multiple pericardial hematomas: a case report and mini-review in multimodality imaging.多发性心包积血:多模态影像学病例报告及文献复习。
BMC Med Imaging. 2021 May 18;21(1):85. doi: 10.1186/s12880-021-00617-0.
2
Post-operative intrapericardial hematoma presenting as isolated right atrial tamponade.术后心包内血肿表现为孤立性右心房填塞。
J Cardiol Cases. 2013 Dec 16;9(2):48-49. doi: 10.1016/j.jccase.2013.09.008. eCollection 2014 Feb.
3
Management of pericardial effusion by drainage: a survey of 10 years' experience in a city centre general hospital serving a multiracial population.
心包积液引流治疗:在一家服务多民族人口的市中心综合医院的十年经验调查
Postgrad Med J. 2000 Dec;76(902):809-13. doi: 10.1136/pmj.76.902.809.
4
Isolated right atrial compression as a late sequela of aortic valve replacement.孤立性右心房受压作为主动脉瓣置换术的晚期后遗症。
Tex Heart Inst J. 1994;21(3):225-7.
5
Illustrative cases in pericardial effusion misdetection: correlation of echocardiography and CT.
Cardiovasc Intervent Radiol. 1987;10(3):162-7. doi: 10.1007/BF02577994.