Liepman M K, Goodlerner S
J Surg Oncol. 1981;17(2):183-8. doi: 10.1002/jso.2930170214.
Two patients with acute leukemia presented with symptomatic acute pericarditis and rapidly developed cardiac tamponade. Conservative management was not possible in either patient due to mechanical problems with fluid removal. Thoracotomy with pericardial decompression resulted in permanent relief of symptoms in both cases. Management of cardiac tamponade in acute leukemia by surgical decompression even in severely immunocompromised hosts is a feasible alternative and should be considered when more conservative measures fail or are not possible.
两名急性白血病患者出现症状性急性心包炎，并迅速发展为心脏压塞。由于液体引流存在机械问题，两名患者均无法进行保守治疗。开胸心包减压术使两例患者的症状均得到永久性缓解。即使在严重免疫功能低下的宿主中，通过手术减压治疗急性白血病合并的心脏压塞也是一种可行的选择，当更保守的措施失败或不可行时应予以考虑。
