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[棘球蚴囊肿破入右心房致死]

[Fatal rupture of an echinococcal cyst into the right atrium].

作者信息

Jović A, Dujella J, Nekić-Borcilo M, Troskot R, Nekić D

机构信息

Odjel za kardiologiju, Opća bolnica Zadar.

出版信息

Lijec Vjesn. 1994 Nov-Dec;116(11-12):295-8.

PMID:7715409
Abstract

The case of a man 32 years of age with echinococcosis of the heart who died due to rupture of a pericardial echinococcal cyst into the right atrium with the range into the pulmonary circulation and fatal embolism of the branch of pulmonary artery is presented. Such localization of echinococcus is extremely unusual as well as the complication it caused, and promoted this report which is very instructive for a clinician, the more so that the patient was surgically treated, but irregularly followed up, and the disease had a poor outcome. Prophylaxis with albendazole over a period of one month and more frequent control examinations by means of adequate diagnostic methods in such cases is stressed.

摘要

本文报告了一例32岁男性心脏包虫病患者,因心包包虫囊肿破裂进入右心房,进而累及肺循环,并导致肺动脉分支致命性栓塞而死亡。包虫的这种定位极其罕见,其所引发的并发症也是如此,这促使了本报告的产生,该报告对临床医生极具指导意义,尤其是考虑到该患者接受了手术治疗,但随访不规律,且疾病预后不佳。文中强调了在此类病例中使用阿苯达唑进行为期一个月以上的预防治疗,以及通过适当的诊断方法进行更频繁的对照检查。

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