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肺癌气管心包瘘致心包积气一例
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Abstract:
目的：探讨心包积气的症状、临床诊断及治疗和预后。方法：回顾性分析胜利油田中心医院2023年收治的1例心包积气患者的临床资料，并进行相关文献复习。结果：患者，老年男性，肺癌放化疗后，因突发背痛持续无法缓解入院，结合心电图及症状，疑似急性心肌梗死，经急诊冠脉造影排除急性心肌梗死，结合胸部CT等检查，确诊心包积气。结论：心包积气临床罕见，如发生心包填塞可危及生命，易误诊为急性心肌梗死或心包炎。需结合影像检查，早诊断、早治疗，避免误诊及病情恶化。
Objective: To investigate the symptoms, clinical diagnosis, treatment and prognosis of pneumopericardium. Method: A retrospective analysis was conducted on the clinical data of patient with pneumopericardium admitted to the Shengli Oilfield Central Hospital in 2023, and relevant literature was reviewed. Result: The patient, an old male, with Lung cancer after chemorchemoradiotherapy, admitted with a sudden back pain that persisted, combined with ECG and symptoms, suspected acute myocardial infarction, acute myocardial infarction was ruled out by emergency coronary angiography, combined with chest CT and other examinations, pneumopericardium was confirmed. Conclusion: Pneumopericardium is rare in clinic, pericardial tamponade, if it occurs, can be life-threatening. It is easily misdiagnosed as acute myocardial infarction or pericarditis. Need to be combined with imaging, early diagnosis and treatment, avoid misdiagnosis and disease deterioration.
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