由心脏填塞引起的成人发病斯蒂尔斯病1例报告

I. Essaket, Assala Cherki, Mohammed El-Jamili, M. El-Hattaoui
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引用次数: 0

摘要

成人发病的斯蒂尔氏病(AOSD)是一种罕见的全身性炎症性疾病,病因不明,临床表现多种多样。在这篇文章中,我们描述了一例57岁的斯蒂尔氏病合并心脏填塞。本病例强调了在炎症性疾病中及时诊断心脏受累的重要性,因为它可能是致命的,并强调了超声心动图评估的实用性,不仅在有症状的患者中,而且在系统检测心包积液方面。由于心包填塞是一种非常罕见的并发症,需要有创入路,因此对于血流动力学受损的病例,它允许医生确定心包引流的时机、入路和方法。
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Adult Onset Still’s Disease Revealed by a Cardiac Tamponade: A Case Report
Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disease of unknown origin with various clinical manifestations. In this article, we describe a case of  57-year-old presenting with  Still's disease complicated by cardiac tamponade. This case highlights the importance of a prompt diagnosis of cardiac involvement in inflammatory diseases, as it can be fatal, and underlines the utility of echocardiographic evaluation not only in symptomatic patients, but also for the systematic detection of pericardial effusions. The case of hemodynamic compromise, it allows the provider to determine the timing, approach, and method of pericardial drainage due to cardiac tamponade being a very rare complication that requires an invasive approach.
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