Derrame Pericárdico, Enfrentamiento Clínico
| Autor: | Cristián Clavería R, Carmen Luz López L, Sandra Negrón M, Juan Andrés Carrasco O, Pamela Zelada P, Luis Vergara G |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
business.industry Derrame pericárdico medicine.disease medicine.disease_cause Pericardial effusion Surgery Pericarditis medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine Etiology Pericardium Enterovirus Clinical case técnica pericardiocentesis business Complication Viral etiology |
| Zdroj: | Revista chilena de pediatría v.80 n.3 2009 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Clinical Approach to Pericardial Effusion Pericardial effusion is the main complication of pericarditis, and can create serious consequences dependingon the speed of development and etiology. The most common causes are neoplasms and idiopathic, eventhough viral etiology is a frequently underestimated cause because of the difficulty in its confirmation. Incases of significant pericardial effusion, pericardiocenthesis has demonstrated to be an effective and safeprocedure. We present a clinical case of a 14 year old adolescent who complained of persistent abdominalpain, and whose study showed significant pericardial effusion. Pericardiocenthesis was performed, alongwith installation of a pigtail catheter which drained 500 ml of serohematic pericardial effusion. The etiologicstudy included an PCR (polymerase chain reaction) positive for Enterovirus. The patient recoveredfavorably and was dismissed from the hospital in good condition. The objective of this report is to exposea current revision of the clinical management of pericardial effusion and the technical skills ofpericardiocenthesis. Knowledge of the technique is fundamental in the treatment of pericardial effusion,especially in situations associated with hemodynamic compromise.( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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