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A Patient with Constrictive Pericarditis Diagnosed by Echocardiography in the Emergency Department

收縮性心包膜炎病人在急診以心臟超音波診斷之病例報告

摘要


64歲男性,患有漸進性之陰囊水腫4天,合併運動性氣喘及咳嗽。X光呈現微量肋膜積水及兩邊肺浸潤,合併周邊心包膜鈣化;心臟超音波顯示收縮性心包膜炎,胸部電腦斷層顯示瀰漫性、不完全心包膜鈣化。

並列摘要


A 64-year-old man presented with progressive swelling of the scrotum for four days, accompanied by gradually increasing dyspnea on exertion and cough severity. The chest radiograph disclosed a normal heart size but severe, dense calcifications in the pericardium. Echocardiography demonstrated thickness and calcification of the pericardium, normal left ventricular systolic but impaired diastolic function, dilatation of both atria and respiratory variation in both the mitral and tricuspid forward flow. The typical ultrasound findings enabled us to differentiate constrictive pericarditis from restrictive cardiomyopathy. The patient refused a pericardiectomy, so medical treatment was instituted.

被引用紀錄


黃紀諺(2004)。醫院緊急應變指揮系統探討-以北市收治SARS病患醫院為例〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2004.02285

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