查詢結果分析
來源資料
相關文獻
- Video-Assisted Thoracoscopic Management of Malignant Peri-Cardial Effusion: A Case Report
- Cardiac Tamponade as the First Manifestation of Gastric Adenocarcinoma--A Case Report and Review of Literature
- Thoracoscopic Retrieval of Metal Rods after Penetrating Chest Injury: Case Report
- Video-assisted Thoracoscopic Surgery for Diagnosis of Intrathoracic Lymphadenopathy: A Case Report
- Constrictive Pericarditis Presenting as Massive Ascites in Children: Report of One Case
- Video-Assisted Thoracoscopic Lobectomy for Localized RML Bronchiectasis
- 單孔胸腔鏡手術
- Minimally Postoperative Pain after Huge Pulmonary Tumor Resection under Subxyphoid Uniportal Video-assisted Thoracoscopic Surgery--A Case Report
- Esophagectomies for Esophageal Cancer: Video-Assisted Thoracoscopic Surgery (VATS) Versus a Traditional Thoracotomy
- 惡性心包膜積液
頁籤選單縮合
題名 | Video-Assisted Thoracoscopic Management of Malignant Peri-Cardial Effusion: A Case Report=以影像輔助胸腔鏡手術治療惡性心包膜積液:一病例報告 |
---|---|
作者 | 蒙恩; 程永隆; 蔡建松; 李世俊; Meng, En; Cheng, Yeung-leung; Tsai, Giian-sueng; Lee, Shih-chun; |
期刊 | 醫學研究 |
出版日期 | 19991000 |
卷期 | 20:2 1999.10[民88.10] |
頁次 | 頁90-94 |
分類號 | 416.262 |
語文 | eng |
關鍵詞 | 影像輔助胸腔鏡手術; 惡性心包膜積液; 心包膜切開術; Video-assisted thoracoscopic surgery; VATS; Pericardial effusion; Pericardiectomy; |
中文摘要 | 一50歲女性在一個月前經診斷出患有左肺下葉腺癌併有骨轉移,曾接受化學治療。 此次入院前一天開始有左下肢腫大及疼痛的症狀。住院時胸部X一光檢查發現兩側肺部浸潤,心臟擴大,及兩側肋膜腔積液。病人在入院後第四天開始有呼吸急促的現象,且愈來愈加劇。心臟超音波顯示有大量心包膜積液併右心室塌陷。病人隨即接受影像輔助胸腔鏡手術將心包膜切開叫流並做心包膜和肋膜切片。術後病人恢復良好,症狀得到緩解,前於第四日接受肋膜腔化學約物治療,經半年追蹤無復發跡象。影像輔助胸腔鏡手術對於處理惡性心包膜積液不但兼貝診斷和治療的功效,並有傷口小,恢復快反可接受進一步化學治療的好處。 |
英文摘要 | A 50-year-old female presented with pain and swelling over the left lower leg which had begun one day prior to admission. She had a one-month history of adeno-carcinoma of the left lower lung with bony metastasis and was receiving chemotherapy. Cardiactamponade had occurred and pericardiocentesis was performed one month before this admission. Chest radiographs on admission showed interstitial infiltration of both lungs, enlarged heart size and bilateral pleural effusion. She suffered from progressive dyspnea on the fourth day after admission. Echocardiogram showed massive pericardial effusion and diastolic collapse of the right ventricle. Video-assisted thoracoscopic pericardiectomy with biopsy of the pericardium and pleura was performed. The histologic study showed metastatic adenocarcinoma of the pericardium and pleura. Chemical pleurodeisi with bleomycin was done on the fourth postoperative day. Chest films and echocardiogram at one day postoperatively showed good improvement in dyspnea without recurrence at six months postoperatively. Video-assisted thoracoscopic surgery (VATS) provides a good method for the diagnosis and treatment of patients with malignant pericardial and pleural effusions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。