Transfüzyon Gerektiren Hemoperikardiyum ve Kalp Tamponadı

Year 2009, Volume: 9 Issue: 3, 138 - 141, 01.07.2009

Yakup Ergül Kemal Nişli Aygün Dindar Ümrah Aydoğan Rukiye Eker Ömeroğlu Türkan Ertuğrul

Abstract

Kalp tamponadı perikarditli hastalarda gelişen, yaşamı tehdit eden, perikardiyosentez veya cerrahi olarak hemen girişim gerektiren kardiyolojik acillerdendir. Bu makalede ani gelişen solukluk ve halsizlik yakınması ile başvuran; fizik muayenede anemi, hepatomegali, zayıf kalp sesleri, düşük nabız amplitüdü ile taşikardi ve hipotansiyon sapta- nan 16 aylık bir erkek hasta sunuldu. Ağır anemisi nede- niyle kan transfüzyonu yapılan hastanın telegrafisinde kardiyomegali ve ekokardiyografik incelemede masif peri- kardiyal efüzyon ve kalp tamponadı bulguları saptandı. Acil perikardiyosentez uygulanan hastada 75 ml hemorajik sıvı boşaltıldı. Bu vaka travma ve kronik hastalık öyküsü olmayan çocuklarda akut gelişen anemi ve kalp yetersizliği durumunda hemoperikardiyum ve kalp tamponadının düşü- nülmesi gerektiğini vurgulamak amacıyla sunuldu

Keywords

Hemoperikardiyum, kalp tamponadı, perikardiyosentez

Hemopericardium and Cardiac Tamponade Which Require Transfusion

Abstract

Cardiac tamponade is a life-threatening complication of pericarditis and pericardiosyntesis or pericardial drainage is needed urgently. In this study, a 16 months old boy who was noticed to be pale and lethargic suddenly was presen- ted. On physical examination, he was pale, tachycardic and hypotensive with filiform pulses. His liver was enlar- ged and telecardiogram revealed cardiomegaly. Massive pericardial effusion which caused to percardial tamponade was shown an echocardiographic investigation. Hemoragic effusion was drained by pericardiosyntesis which resulted in clinical improvement. Although there is no history of trauma and chronic disease hemopericardium and cardiac tamponade should be also considered in children with acut anemia and heart failure

Keywords

Hemopericardium, cardiac tamponade, pericardiosyntesis

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