心脏直视手术后的心包填塞（作者译）
[Cardiac tamponade following open-heart surgery (author's transl)].
作者信息
Lindenau K F, Warnke H, Bergmann U
出版信息
Zentralbl Chir. 1979;104(20):1345-54.
PMID:532406
Abstract
Cardiac tamponade occurred in 9 (1,8%) of 488 patients following open-heart surgery. Delayed cardiac tamponade was observed in one case (0,2%). The mediastinal tamponade was caused by early occlusion of the chest tubes, pericardium closure and administration of anticoagulants. A reliable sign of mediastinal tamponade is the expanding cardiac silhouette demonstrated by roentgenogram. In outpatients receiving anticoagulants following open-heart procedures a life-threatening delayed cardiac tamponade may develop.
摘要
488例心脏直视手术后有9例（1.8%）发生心脏压塞。1例（0.2%）出现迟发性心脏压塞。纵隔压塞由胸管早期堵塞、心包关闭及抗凝剂使用所致。纵隔压塞的一个可靠征象是X线显示心脏轮廓增大。在心脏直视手术后接受抗凝治疗的门诊患者中，可能会发生危及生命的迟发性心脏压塞。
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