Watanabe S, Shimokawa S, Yamaoka A, Taira A, Miyata M
Second Department of Surgery, Kagoshima University Faculty of Medicine, Japan.
Kyobu Geka. 1995 Sep;48(10):890-2.
A case of lung cancer manifested as cardiac tamponade was reported. A 64-year-old male had anterior chest pain and dyspnea. A chest X-ray films showed an enlarged heart with a solitary round shadow in the left lung hilus. Echocardiogram disclosed a large amount of pericardial effusion. Emergency pericardiectomy with drainage was accomplished. The patient lived for 8 months without effusion accumulation. Histologically adenocarcinoma of the lung with prominent lymph nodes metastases was disclosed. Surgical decompression such as pericardiectomy or pericardial fenestration is a valuable selection in the treatment of pericardial effusion and tamponade.
报告了一例表现为心脏压塞的肺癌病例。一名64岁男性出现前胸疼痛和呼吸困难。胸部X光片显示心脏增大，左肺门有一个孤立的圆形阴影。超声心动图显示大量心包积液。完成了紧急心包切除术并进行引流。患者存活了8个月，没有积液积聚。组织学检查发现为肺腺癌，伴有明显的淋巴结转移。心包切除术或心包开窗术等手术减压是治疗心包积液和心脏压塞的一种有价值的选择。
