Meysman M, Schoors D F, Noppen M, Vincken W, Dewilde P
Respiratory Division, Academic Hospital University of Brussels (AZ VUB), Belgium.
Acta Clin Belg. 1995;50(5):305-9. doi: 10.1080/17843286.1995.11718467.
We present two patients with moderate left ventricular dysfunction, who developed a pleural effusion after coronary artery bypass grafting (CABG). The effusion was proven to be an exsudate of tuberculous origin. This illustrates that not all pleural exsudates developing after CABG are due to a post-pericardiotomy syndrome. Therefore microbiological examination of pleural fluid and if necessary pleural biopsy should be performed in all patients with an unresolving pleural effusion following CABG.
我们报告了两名左心室功能中度不全的患者，他们在冠状动脉旁路移植术（CABG）后出现了胸腔积液。经证实，该积液是结核性渗出液。这表明并非所有CABG后出现的胸腔渗出液都是由心包切开术后综合征引起的。因此，对于所有CABG后胸腔积液持续不消退的患者，都应进行胸腔积液的微生物学检查，必要时进行胸膜活检。
