Stang J M, Ruff P D, McEnany M T, VanAman M E, Magorien R D, Wooley C F
Clin Cardiol. 1983 Dec;6(12):613-21. doi: 10.1002/clc.4960061207.
The most recent patient in a 13-year experience with 14 patients suffering massive pulmonary thromboembolism requiring pulmonary thromboembolectomy is the focus of this report. This 40-year-old woman not only survived life-threatening acute hypoxemia and right heart failure, but was also found to have developed a unique transudative 700 cc pericardial effusion. Pulmonary artery pressure was 90/30 (mean 50 mmHg), accompanied by 17 mm right ventricular alternans. Systemic alternans and tamponade physiology were absent. This unusual natural model for acute right heart failure illustrates a novel mechanism for pericardial effusion physiology.
本报告聚焦于一位在13年中第14例因大面积肺血栓栓塞需行肺血栓切除术的患者。这位40岁女性不仅从危及生命的急性低氧血症和右心衰竭中存活下来，还被发现出现了一种独特的700毫升漏出性心包积液。肺动脉压为90/30（平均50毫米汞柱），伴有17毫米的右心室交替脉。无全身性交替脉和心包填塞生理表现。这种急性右心衰竭的不寻常自然模型阐明了心包积液生理的一种新机制。
