心膜血腫、心嚢血腫、心嚢水腫
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/12/27 00:06:54」(JST)
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| Hemopericardium |
| Classification and external resources |
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| ICD-10 |
I23.0, I31.2, S26.0 |
| ICD-9 |
423.0, 860.2 |
Hemopericardium refers to blood in the pericardial sac of the heart. It is clinically similar to a pericardial effusion, and, depending on the volume and rapidity with which it develops, may cause cardiac tamponade.[1]
The condition can be caused by full-thickness necrosis (death) of the myocardium (heart muscle) after myocardial infarction, as well as trauma,[2] Tuberculosis, and in patients receiving anticoagulants.[3][4] Other causes include ruptured aneurysm of sinus of Valsalva and other aneurysms of the aortic arch.[5]
References
- ^ "Forensic Pathology".
- ^ Krejci CS, Blackmore CC, Nathens A (July 2000). "Hemopericardium: an emergent finding in a case of blunt cardiac injury". AJR Am J Roentgenol 175 (1): 250. doi:10.2214/ajr.175.1.1750250. PMID 10882282.
- ^ Katis PG (May 2005). "Atraumatic hemopericardium in a patient receiving warfarin therapy for a pulmonary embolus". CJEM 7 (3): 168–70. PMID 17355673. [dead link]
- ^ Hong YC, Chen YG, Hsiao CT, Kuan JT, Chiu TF, Chen JC (September 2007). "Cardiac tamponade secondary to haemopericardium in a patient on warfarin". Emerg Med J 24 (9): 679–80. doi:10.1136/emj.2007.049643. PMC 2464639. PMID 17711963.
- ^ Gray's Anatomy, 1902 ed.
- Cardiovascular disease: heart disease
- Circulatory system pathology
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| Ischaemic |
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Coronary disease
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- Coronary artery disease (CAD)
- Coronary artery aneurysm
- Coronary artery dissection
- Coronary thrombosis
- Coronary vasospasm
- Myocardial bridge
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Active ischemia
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- Angina pectoris
- Prinzmetal's angina
- Stable angina
- Acute coronary syndrome
- Myocardial infarction
- Unstable angina
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Sequelae
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- hours
- Hibernating myocardium
- Myocardial stunning
- days
- weeks
- Aneurysm of heart / Ventricular aneurysm
- Dressler's syndrome
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| Layers |
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Pericardium
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- Pericarditis
- Acute
- Chronic / Constrictive
- Pericardial effusion
- Cardiac tamponade
- Hemopericardium
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Myocardium
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- Myocarditis
- Cardiomyopathy: Dilated (Alcoholic), Hypertrophic, and Restrictive
- Loeffler endocarditis
- Cardiac amyloidosis
- Endocardial fibroelastosis
- Arrhythmogenic right ventricular dysplasia
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Endocardium /
valves
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Endocarditis
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- infective endocarditis
- Subacute bacterial endocarditis
- non-infective endocarditis
- Libman–Sacks endocarditis
- Nonbacterial thrombotic endocarditis
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Valves
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- mitral
- regurgitation
- prolapse
- stenosis
- aortic
- tricuspid
- pulmonary
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Conduction /
arrhythmia |
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Bradycardia
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- Sinus bradycardia
- Sick sinus syndrome
- Heart block: Sinoatrial
- AV
- Intraventricular
- Bundle branch block
- Right
- Left
- Left anterior fascicle
- Left posterior fascicle
- Bifascicular
- Trifascicular
- Adams–Stokes syndrome
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Tachycardia
(paroxysmal and sinus)
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Supraventricular
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- Atrial
- Junctional
- AV nodal reentrant
- Junctional ectopic
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Ventricular
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- Accelerated idioventricular rhythm
- Catecholaminergic polymorphic
- Torsades de pointes
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Premature contraction
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Pre-excitation syndrome
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- Lown–Ganong–Levine
- Wolff–Parkinson–White
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Flutter / fibrillation
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- Atrial flutter
- Ventricular flutter
- Atrial fibrillation
- Ventricular fibrillation
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Pacemaker
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- Ectopic pacemaker / Ectopic beat
- Multifocal atrial tachycardia
- Pacemaker syndrome
- Parasystole
- Wandering pacemaker
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Long QT syndrome
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- Andersen–Tawil
- Jervell and Lange-Nielsen
- Romano–Ward
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Cardiac arrest
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- Sudden cardiac death
- Asystole
- Pulseless electrical activity
- Sinoatrial arrest
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Other / ungrouped
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- hexaxial reference system
- Right axis deviation
- Left axis deviation
- QT
- T
- ST
- Osborn wave
- ST elevation
- ST depression
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| Cardiomegaly |
- Ventricular hypertrophy
- Left
- Right / Cor pulmonale
- Atrial enlargement
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| Other |
- Cardiac fibrosis
- Heart failure
- Diastolic heart failure
- Cardiac asthma
- Rheumatic fever
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noco/cong/tumr, sysi/epon, injr
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proc, drug (C1A/1B/1C/1D), blte
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Chest trauma, excluding fractures (S20–S29, 860–862)
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Cardiac and
circulatory system injuries |
- vascular: Traumatic aortic rupture
- heart: Myocardial contusion/Commotio cordis
- Cardiac tamponade
- Hemopericardium
- Myocardial rupture
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Lung and
lower respiratory tract injuries |
- Pneumothorax
- Hemothorax
- Hemopneumothorax
- Pulmonary contusion
- Pulmonary laceration
- Tracheobronchial injury
- Diaphragmatic rupture
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anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
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noco/syva/cong/lyvd/tumr, sysi/epon, injr
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proc, drug (C2s+n/3/4/5/7/8/9)
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noco/cong/tumr, sysi/epon, injr
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proc, drug (C1A/1B/1C/1D), blte
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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Pathology: hemodynamics
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| Decreases |
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Thrombus/thrombosis
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Renal vein thrombosis
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Ischemia
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- Brain ischemia
- Ischaemic heart disease
- large intestine: Ischemic colitis
- small intestine: Mesenteric ischemia
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Infarction
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general:
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- Anemic infarct
- Hemorrhagic infarct
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regional:
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- Myocardial infarction
- Cerebral infarction
- Splenic infarction
- Limb infarction
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| Increases |
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Hemorrhage
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general
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- Bruise/Hematoma
- Petechia
- Purpura
- Ecchymosis
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regional
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- head
- Epistaxis
- Hemoptysis
- Intracranial hemorrhage
- Hyphema
- Subconjunctival hemorrhage
- torso
- Hemothorax
- Hemopericardium
- Pulmonary hematoma
- abdomen
- Gastrointestinal bleeding
- Haemobilia
- Hemoperitoneum
- Hematocele
- Hematosalpinx
- joint
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Edema
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general
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- Anasarca
- Angioedema/Lymphedema
- Exudate/Transudate
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regional
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- Cerebral edema
- Pulmonary edema
- Hydrothorax
- Ascites/hydroperitoneum
- Hydrosalpinx
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Other
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UpToDate Contents
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English Journal
- Computed tomography findings of pulmonary venoocclusive disease in scleroderma patients presenting with precapillary pulmonary hypertension.
- Günther S, Jaïs X, Maitre S, Bérezné A, Dorfmüller P, Seferian A, Savale L, Mercier O, Fadel E, Sitbon O, Mouthon L, Simonneau G, Humbert M, Montani D.SourceUniversité Paris-Sud, Hôpital de Bicêtre, AP-HP, Le Kremlin-Bicêtre, France, and INSERM U999, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson, France.
- Arthritis and rheumatism.Arthritis Rheum.2012 Sep;64(9):2995-3005. doi: 10.1002/art.34501.
- OBJECTIVE: Pulmonary venoocclusive disease (PVOD) is an uncommon form of pulmonary hypertension (PH) characterized by obstruction of small pulmonary veins. Pulmonary venous involvement has been reported in pathologic assessment of patients with systemic sclerosis (SSc) presenting with precapillary P
- PMID 22549387
- Scientific letter: Ac-SDKP (N-acetyl-seryl-aspartyl-lysyl-proline) and Galectin-3 levels in tuberculous pericardial effusion: implications for pathogenesis and prevention of pericardial constriction.
- Ntsekhe M, Matthews K, Wolske J, Badri M, Wilkinson KA, Wilkinson RJ, Sturrock ED, Mayosi BM.SourceDepartment of Medicine, J Floor Old Groote Schuur Hospital, Anzio Road, Observatory, 7925, Cape Town, South Africa; bongani.mayosi@uct.ac.za.
- Heart (British Cardiac Society).Heart.2012 Sep;98(17):1326-8. Epub 2012 Jul 26.
- PMID 22842991
Japanese Journal
- Coronary Spasm due to Type A Aortic Dissection Complicated by Hemopericardium: A Case Report of Another Possible Cause of Coronary Malperfusion
- Chamnarnphol Noppadol,Cheewatanakornkul Sirichai,Wisaratapong Treechada
- Internal Medicine 49(9), 829-831, 2010
- … We report a 45-year-old man presenting with acute inferior wall ST segment elevation myocardial infarction who was finally diagnosed to have Type A aortic dissection complicated by hemopericardium and cardiac tamponade. …
- NAID 130000251880
- Delayed Hemopericardium with Constrictive Pericarditis after Blunt Trauma : A Report of a Surgical Case
- LIN Hung-Shih,LIU Hung-Chang,HUANG Wen-Chieh,CHEN Chao-Hung,HUANG Charng-Jer,TZEN Chi-Yuan,CHEN Wei-Hung
- Annals of thoracic and cardiovascular surgery 12(6), 428-431, 2006-12-01
- NAID 10020337255
Related Links
- Hemopericardium refers to blood in the pericardial sac of the heart. It is clinically similar to a pericardial effusion, and, depending on the volume and rapidity with which it develops, may cause cardiac tamponade. The condition can be caused ...
- Hemopericardium. Definition.—Hemopericardium is an infiltration of blood into the pericardium. Etiology.—This is entirely distinct from the hemorrhagic effusion that occurs in the course of tubercular, cancerous, and cachectic pericarditis, and ...
Related Pictures
★リンクテーブル★
[★]
- 英
- hemopericardium, haemopericardium
- 同
- 心膜血腫
- 関
- 心嚢液貯留、心嚢水腫、乳糜心膜症。心タンポナーデ
[show details]
- 心嚢内への出血、血液の貯留により血腫を形成がみられる状態。
- 心臓破裂、胸部大動脈瘤の破裂、心臓外傷、医原性の心損傷により生じる。
- 心嚢内に血液・血腫が充満することで心収縮が障害され、心タンポナーデという病態を来す。
- 治療は心嚢穿刺により血液をドレナージする心嚢ドレナージ。奏効しない場合には開胸止血術を要することもある。