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1. 心膜の心エコー評価echocardiographic evaluation of the pericardium [show details]
…The normal pericardium is a fibroelastic sac containing a thin layer of fluid that surrounds the heart. When larger amounts of fluid accumulate (pericardial effusion) or when the pericardium becomes scarred …
2. 悪性腫瘍関連心膜疾患pericardial disease associated with malignancy [show details]
… Malignant involvement of the pericardium is seen in 1 to 20 percent of autopsies in patients with cancer. The most common metastatic tumor involving the pericardium is lung cancer; others include breast …
3. 心膜疾患の病因etiology of pericardial disease [show details]
…present months to years after an initial insult involving the pericardium, although the majority of patients with prior involvement of the pericardium do not develop constrictive pericarditis. While the diagnosis …
4. 収縮性心膜炎constrictive pericarditis [show details]
…normal pericardium consists of a visceral monolayer adherent to the epicardial surface of the heart, and the parietal pericardium, a fibroelastic layer that is continuous with the visceral pericardium and …
5. 乳糜心膜症およびコレステロール心膜炎chylopericardium and cholesterol pericarditis [show details]
…considered inappropriate, a tube can be placed in the pericardium at one end and in the peritoneum at the other to drain the chyle away from the pericardium and into the peritoneal cavity where it can be absorbed …

Japanese Journal

長期予後を期待した肺癌の癌性心膜炎に対する心膜開窓術と集学的治療

大島穣,田畑俊治,野々村遼,佐々木高信,三友英紀,石橋直也,菅原崇史,佐川元保,近藤丘
胸部外科 = The Japanese journal of thoracic surgery 73(1), 63-67, 2020-01
NAID 40022132430

左肋間小開胸による心膜開窓術が奏功した Bacteroides fragilis による化膿性心外膜炎の1例

吉村健司,宮本伸二,和田朋之,田中秀幸,首藤敬史,川野まどか,河島毅之,梅野惟史,内田かおる,穴井博文
日本心臓血管外科学会雑誌 49(1), 12-15, 2020
… 心嚢穿刺ドレナージで膿性の排液があり，化膿性心外膜炎の診断となった．膿瘍の培養からはBacteroides fragilisが検出された．抗菌薬治療による保存的加療では軽快せず，左肋間小開胸による心膜開窓術を施行した．術後経過は良好で胸水培養も陰性であった．化膿性心外膜炎は難治性で予後も不良な疾患である．今回，Bacteroides fragilisによる化膿性心外膜炎という稀な症例に対して左肋間小 …
NAID 130007793711