Schultz S C, Breall J, Hannan R
Division of Cardiovascular Surgery, Georgetown University School of Medicine, Washington, D.C., USA.
Cardiology. 1997 Jan-Feb;88(1):48-9. doi: 10.1159/000177308.
Spontaneous cardiac tamponade secondary to a congenital coagulation defect has never been reported. We report a case of acute cardiac tamponade in a patient with a known factor V deficiency. This patient presented with classic signs of acute cardiac tamponade and an enlarged cardiac silhouette. After diagnostic two-dimensional echocardiography and treatment with fresh-frozen plasma, the patient underwent emergent pericardiocentesis followed by complete pericardiectomy.
先天性凝血缺陷继发的自发性心脏压塞从未有过报道。我们报告一例已知存在因子V缺乏的患者发生急性心脏压塞的病例。该患者表现出急性心脏压塞的典型体征及心脏轮廓增大。经二维超声心动图诊断并给予新鲜冷冻血浆治疗后，患者接受了紧急心包穿刺术，随后进行了心包全切术。
