心包腔内万古霉素注入治疗化脓性心包炎1例
Chinese Journal of Evidence-Based Cardiovascular Medicine（2012）
Abstract
<正>患者女性,53岁,主因"发热伴左侧胸痛1月余"入院。胸痛受呼吸及体位影响,伴呼吸困难、双下肢水肿。院外诊断"化脓性心包炎",静脉予喹诺酮,同时行心包穿刺引流2周,后体温降至正常、呼吸困难缓解。入院查体:T38℃,HR108次/分,呼吸27次/分,BP100/67mmHg。精神差,端坐位,口唇发绀,颈静脉怒张,左肺呼吸音减弱。
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