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急诊心包切开术作为恶性心包填塞的主要诊断和治疗方法:三例报告并文献复习

Emergency pericardiotomy as primary diagnostic and therapeutic procedure in malignant pericardial tamponade: report of three cases and review of the literature.

作者信息

Appelqvist P, Maamies T, Gröhn P

出版信息

J Surg Oncol. 1982 Sep;21(1):18-22. doi: 10.1002/jso.2930210105.

DOI:10.1002/jso.2930210105
PMID:7109632
Abstract

Three cases are presented in which pericardial tamponade was the first indication of malignant disorder. The diagnosis and therapy of malignant cardiac tamponade was revealed by emergency pericardiotomy. In all cases the tumor was an adenomatous carcinoma and the site of primary tumor was unknown until death. The median survival time after onset of symptoms was 4 months. The primary site was the lungs in two and remained unknown autopsy in one case.

摘要

本文报告3例以心包填塞为首发表现的恶性疾病。急诊心包切开术揭示了恶性心脏填塞的诊断和治疗方法。所有病例的肿瘤均为腺癌,直至死亡时原发肿瘤部位仍不明。症状出现后的中位生存时间为4个月。2例原发部位为肺,1例尸检时仍未明确原发部位。

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