Takano T, Kuwabara T, Gomi S, Kameda Y, Endo T, Honma H, Yamauchi S, Fukuda J
Gan To Kagaku Ryoho. 1983 Feb;10(2 Pt):180-7.
Pericardial metastases are frequently found and often cause cardiac tamponade which requires emergency treatment. Pericardiocentesis or subxiphoid pericardiotomy and pericardial drainage can be performed; the latter is a safe and effective method for the management of continuous pericardial effusion since it can be done under direct visualization and local anesthesia. We had four patients with neoplastic cardiac tamponade who were treated successfully with subxiphoid pericardiotomy and pericardial drainage. In three of them neoplasms had not been found until cytology of pericardial fluid proved to be malignant when they were attacked by cardiac tamponade. If the patient with malignancy is attacked by cardiac tamponade, subxiphoid pericardiotomy and pericardial drainage should be performed considering neoplastic cardiac tamponade. We have described pathophysiology, diagnosis and treatment of neoplastic cardiac tamponade.
心包转移瘤很常见，常导致心脏压塞，需要紧急治疗。可进行心包穿刺术、剑突下心包切开术及心包引流；后者是治疗持续性心包积液的一种安全有效的方法，因为它可以在直视和局部麻醉下进行。我们有4例肿瘤性心脏压塞患者通过剑突下心包切开术及心包引流获得成功治疗。其中3例在因心脏压塞发作时，心包液细胞学检查证实为恶性肿瘤之前，一直未发现肿瘤。如果恶性肿瘤患者发生心脏压塞，应考虑肿瘤性心脏压塞而行剑突下心包切开术及心包引流。我们已描述了肿瘤性心脏压塞的病理生理学、诊断及治疗。
