35.關於心包膜填塞(pericardial temponade)之診斷,下列敘..-阿摩線上測驗
2F Ollie Hou 高一下 (2019/07/11)
Cardiac Tamponade Etiology Previous pericarditis (most commonly metastatic tumor, uremia, viral or idiopathic pericarditis), cardiac trauma, or myocardial perforation during intravascular procedure Physical Examination Tachycardia, hypotension, pulsus paradoxus (inspiratory fall in systolic blood pressure >10 mmHg), jugular venous distention with preserved x descent but loss of y descent; heart sounds distant. If tamponade develops subacutely, peripheral edema, hepatomegaly, and ascites may be present. CXR Enlarged cardiac sil... 查看完整內容 |