Pifarré R, Martínez C, Rosell A
Servicio de Neumología, Hospital Germans Trias i Pujol, Badalona, Barcelona.
Arch Bronconeumol. 1997 Dec;33(11):594-5. doi: 10.1016/s0300-2896(15)30520-2.
Shock is a rare complication of massive pleural effusion and few cases have been described in the literature. Massive pleural effusion can cause right ventricular collapse due to transfer of pressure from the pleura to the pericardial space, creating a medical emergency requiring thoracocentesis for evacuation. We describe the case of a man with submassive right pleural effusion seen in the pneumology unit of our hospital. During the admission process, he suffered arterial hypotension and cardiorespiratory arrest requiring orotracheal intubation and mechanical ventilation. Massive pleural effusion with mediastinal displacement could be seen on a chest film. Symptoms resolved after thoracocentesis to evacuate the space and tubes were removed 24 hours after the event.
休克是大量胸腔积液的一种罕见并发症，文献中描述的病例较少。大量胸腔积液可因压力从胸膜转移至心包腔而导致右心室塌陷，引发医疗急症，需要进行胸腔穿刺抽液以排出积液。我们报告一例在我院呼吸科就诊的亚大量右侧胸腔积液男性患者的病例。在入院过程中，他出现动脉低血压和心肺骤停，需要进行气管插管和机械通气。胸部X光片可见大量胸腔积液伴纵隔移位。胸腔穿刺抽液后症状缓解，事件发生24小时后拔除引流管。
