Haedersdal C, Hasselbalch H, Devantier A, Saunamäki K
Scand J Haematol. 1985 Mar;34(3):270-3. doi: 10.1111/j.1600-0609.1985.tb02791.x.
A 52-year-old male with idiopathic myelofibrosis of 8 years' duration developed pericardial tamponade during recovery from acute tubular interstitial nephropathia following septicaemia. Splenectomy had been performed 7 yr previously. The tamponade was relieved by pericardiocentesis and its recurrence was prevented by a minor pericardiectomy. Pathological examination, including staining for factor VIII-positive cells, demonstrated extramedullary haematopoiesis in the pericardium. In patients with myelofibrosis and increased silhouette on X-ray film, with or without clinical heart failure, echocardiographic examination is recommended in order to identify a possible pericardial effusion.
一名患有8年特发性骨髓纤维化的52岁男性，在败血症后急性肾小管间质性肾病恢复期间发生了心包填塞。7年前已行脾切除术。通过心包穿刺术缓解了填塞，并通过小型心包切除术预防了其复发。病理检查，包括对VIII因子阳性细胞进行染色，显示心包存在髓外造血。对于骨髓纤维化且X线胸片上心影增大的患者，无论有无临床心力衰竭，建议进行超声心动图检查以确定是否可能存在心包积液。
