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[收缩期左心室功能不全患者的心包填塞。一种非典型表现]

[Tamponade in patients with systolic left ventricular dysfunction. An atypical presentation].

作者信息

Vayre F, Lardoux H, Bourdarias J P, Pezzano M, Dubourg O

机构信息

Service de Cardiologie, Hôpital Ambroise Paré, Boulogne.

出版信息

Presse Med. 1998 Mar 28;27(12):567-70.

PMID:9767949
Abstract

BACKGROUND

Left ventricular failure has been described following surgery due to localized compression of the left ventricle and in case of diastolic left ventricular dysfunction after pericardiotomy or pericardiocentesis.

CASE REPORTS

Global heart failure was observed in 3 patients with dilated cardiopathy who developed tamponade. Systolic left ventricular dysfunction was caused by ischemic heart disease in one patient and secondary to anthracyclin chemotherapy in the two others. The effusion was successfully removed with pericardiocentesis in all three cases. No specific complications were observed.

DISCUSSION

Although exceptional, tamponade may occur in patients with signs of left ventricular failure.

摘要

背景

左心室衰竭曾被描述为因左心室局部受压手术后发生,以及在心包切开术或心包穿刺术后出现舒张期左心室功能障碍的情况下发生。

病例报告

在3例扩张型心肌病并发心脏压塞的患者中观察到全心衰竭。1例患者收缩期左心室功能障碍由缺血性心脏病引起,另外2例继发于蒽环类化疗。所有3例患者均通过心包穿刺成功清除积液,未观察到特定并发症。

讨论

尽管罕见,但心脏压塞可能发生在有左心室衰竭体征的患者中。

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Presse Med. 1998 Mar 28;27(12):567-70.
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