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首页> 外文期刊>The Internet Journal of Emergency and Intensive Care Medicine >Death Following Thoracentesis: Investigating The Cause
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Death Following Thoracentesis: Investigating The Cause

机译：胸腔穿刺术后的死亡：调查原因

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Objective: Investigating mortality following thoracentesis and to discuss that the cause of death was likely to be due to complication related to a large mitral valve vegetation. Method: Review of clinical data, autopsy findings and MEDLINE search.Results: A patient developed haemoptysis, hypoxia, tachycardia and hypotension soon after an unsuccessful attempt at left thoracentesis. He died despite aggressive resuscitation. Autopsy revealed a large mitral valve vegetation. We hypothesize that acute deterioration and subsequent death was due to mitral valve obstruction. We report autopsy findings.Conclusions: It is common for the critically ill patient on the ICU to develop pleural effusions secondary to heart failure. However, other reasons for rapidly deteriorating cardiac function should be considered; amongst these is the presence of endocarditis.
机译：目的：调查胸腔穿刺术后的死亡率，并讨论死亡原因很可能是由于与二尖瓣大片植被相关的并发症所致。方法：审查临床数据，尸检结果和MEDLINE搜索。结果：左胸腔穿刺术失败后不久，患者出现了咯血，缺氧，心动过速和低血压。尽管进行了积极的复苏，他仍死了。尸检显示二尖瓣植物很大。我们假设急性恶化和随后的死亡是由于二尖瓣阻塞所致。结论：结论：重症监护病房的重症患者因心力衰竭继发胸腔积液是很常见的。但是，应考虑导致心脏功能迅速恶化的其他原因。其中有心内膜炎。

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