Ohke M, Yamadori I, Yuzurio S, Aoe K, Ozaki S, Kimura K, Yonei T, Kishimoto T
Department of Internal Medicine, Okayama Rousai Hospital, Japan.
Nihon Kokyuki Gakkai Zasshi. 1998 Jan;36(1):77-80.
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.
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。
