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目的探讨PCI并发迟发心脏压塞误诊情况。方法对6例PCI并发迟发心脏压塞误诊病例的临床资料进行分析。结果 6例病例中,误诊为泵衰竭2例,支架内血栓形成1例,PCI术后再梗1例,迷走神经反射亢进1例,多脏器功能障碍综合征1例。结论 PCI并发迟发心脏压塞的临床症状和体征多,起病隐蔽,应通过加深对疾病的认识、细致地观察临床表现及早期床旁超声心动图检查等手段减少误诊。
Objective To investigate the misdiagnosis of late cardiac tamponade with PCI. Methods The clinical data of 6 cases of misdiagnosis of delayed cardiac tamponade combined with PCI were analyzed. Results Six cases were misdiagnosed as pump failure in 2 cases, stent thrombosis in 1 case, PCI after PCI in 1 case, vagal reflex in 1 case and multiple organ dysfunction syndrome in 1 case. Conclusions There are many clinical symptoms and signs of delayed cardiac tamponade in patients with PCI. The pathogenesis of this disease is subtle, which should be reduced by deepening understanding of the disease, careful observation of clinical manifestations and early bedside echocardiography.