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一例伴有心包积液但无心脏压塞的肺癌病例

[A case of lung cancer with pericardial effusion without cardiac tamponade].

作者信息

Ohke M, Yamadori I, Yuzurio S, Aoe K, Ozaki S, Kimura K, Yonei T, Kishimoto T

机构信息

Department of Internal Medicine, Okayama Rousai Hospital, Japan.

出版信息

Nihon Kokyuki Gakkai Zasshi. 1998 Jan;36(1):77-80.

PMID:9611981
Abstract

Cardiac tamponade as an initial manifestation of primary lung cancer is uncommon. All such cases had shown symptoms of cardiac tamponade at the first visit of the hospital. We report a case of lung cancer with pericardial effusion without cardiac tamponade. Echocardiography, revealed little pericardial effusion and it has not increased for 3 months. Pericardiotomy revealed adenocarcinoma and lung cancer was confirmed by bronchial biopsy. It is necessary to further examine patients with even slight amounts of pericardial effusion.

摘要

心脏压塞作为原发性肺癌的初始表现并不常见。所有此类病例在首次就诊时均已出现心脏压塞症状。我们报告一例伴有心包积液但无心脏压塞的肺癌病例。超声心动图显示心包积液较少,且3个月来未增加。心包切开术显示为腺癌,经支气管活检确诊为肺癌。对于即使有少量心包积液的患者也有必要进一步检查。

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