Spontaneous 'cardiomegaly' following pericardiectomy.

Geske JB; Calvin AD

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Spontaneous 'cardiomegaly' following pericardiectomy.

机译：心包切除术后自发的“心脏肿大”。

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A 64-year-old woman presented eight days following pericardiectomy with a 2-day history of progressive dyspnea and new crushing chest pain. Chest x-ray revealed development of interval "cardiomegaly." Bedside echocardiography revealed a large accumulation of pericardial fluid despite absence of pericardium. Diagnostic and therapeutic mediastinocentesis was performed and confirmed the diagnosis of mediastinal hemorrhage. Subsequent to pericardiectomy, mediastinal hemorrhage can masquerade as cardiomegaly and may require urgent intervention.

机译：一名64岁的妇女在心包切除术后8天出现了2天的进行性呼吸困难和新的剧烈胸痛病史。胸部X线检查显示间隔“心脏肥大”的发展。尽管没有心包，床旁超声心动图检查仍显示大量心包积液。进行了诊断和治疗性纵隔穿刺术，并证实了纵隔出血的诊断。心包切除术后，纵隔出血会伪装成心脏肿大，可能需要紧急干预。

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《Journal of cardiac surgery.》 |2009年第6期|共2页
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Geske JB; Calvin AD;
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正文语种 eng
中图分类外科学;
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Spontaneous 'cardiomegaly' following pericardiectomy.

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