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폐 선암의 첫 증상으로 발생한 악성 심장막 삼출액으로 인한 심장눌림증 1례

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Author(s)
진상찬손유동최우익
Keimyung Author(s)
Jin, Sang ChanChoi, Woo Ik
Department
Dept. of Emergency Medicine (응급의학)
Journal Title
대한응급의학회지
Issued Date
2006
Volume
17
Issue
4
Abstract
Pericardial tamponade is a life-threatening condition, as accumulated fluid in the pericardial sac can ultimately lead to fatal shock. The clinical identification of cardiac tamponade can be difficult to determine. Accurate diagnosis and prompt intervention are important to prevent adverse outcomes. Unexplained hypotension, enlarged cardiac silhouette, chest pain or dyspnea in a patient with underlying comorbidities, such as cancer, uremia or trauma history, constitute a high-risk population for pericardial effusions. The identifying cause of pericardial effusion and the understanding of the disease process are also important to prevent recurrent pericardial effusions. We report a case of malignant pericardial effusion with tamponade as an initial presentation in a patient with lung adenocarcinoma. The patient had typical features of tamponade such as neck vein distension, hypotension, tachycardia, tachypnea, muffled heart sound and cardiomegaly on chest X-ray. The pericardial effusion was confirmed by bedside echocardiography. Subsequently, ultrasound guided pericardiocentesis was performed and malignant cells were detected in the effusion by cytology. Eventually, lung adenocarcinoma was detected by CT-guided tissue biopsy. Hemodynamic changes, associated underlying causes, clinical presentations, radiologic findings, and the emergency management of cardiac tamponade were reviewed with the current literature.
Alternative Title
Case Report of a Malignant Pericardial Effusion with Tamponade as an Initial Presentation in a Patient with Lung Adenocarcinoma
Keimyung Author(s)(Kor)
진상찬
최우익
Publisher
School of Medicine
Citation
진상찬 et al. (2006). 폐 선암의 첫 증상으로 발생한 악성 심장막 삼출액으로 인한 심장눌림증 1례. 대한응급의학회지, 17(4), 357–360.
Type
Article
ISSN
1226-4334
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38268
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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