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心包积液的病因及误诊分析
引用本文:周永明,易欣,黎明江. 心包积液的病因及误诊分析[J]. 临床和实验医学杂志, 2012, 11(19): 1531-1532
作者姓名:周永明  易欣  黎明江
作者单位:1. 武汉大学人民医院老年病科
2. 武汉大学人民医院心3科,湖北,武汉430060
摘    要:目的分析心包积液患者的病因及误诊原因。方法收集2007~2011年收治的65例心包积液患者的临床资料并进行回顾性分析。结果本组资料心包积液常见病因依次为肿瘤性(33.85%)、结核性(23.08%)、心力衰竭性(10.77%)、非特异性(7.69%)和结缔组织疾病(6.15%),其他各种原因引起者占18.48%。误诊4例。结论肿瘤是心包积液的首要病因。误诊的主要原因是将其他性质的心包积液误诊为肿瘤性心包积液。

关 键 词:心包积液  病因  误诊

Study on etiology of pericardial effusion in 65 cases and reasons for misdiagnosis
ZHOU Yong-ming , YI Xin , LI Ming-jiang. Study on etiology of pericardial effusion in 65 cases and reasons for misdiagnosis[J]. Journal of Clinical and Experimental Medicine, 2012, 11(19): 1531-1532
Authors:ZHOU Yong-ming    YI Xin    LI Ming-jiang
Affiliation:1 Department of Geriatrics;2.Department of Cardiosurgery,Renmin Hospital of Wuhan University,Wuhan Hubei 430060,China.
Abstract:Objective To analyze the causes of pericardial effusion and to explore the reasons for misdiagnosis.Methods The clinical data of 65 cases of pericardial effusion in this hospital during 2007 to 2011 were retrospectively analyzed.Results The common causes of pericardial effusion in turn included tumor,tuberculosis,heart failure,non-specific causes and connective tissue disease,and their rates of incidence were 33.85%,23.08%,10.77,7.69% and 6.15% respectively.The incidence of other causes was 18.48%.Four cases were misdiagnosed.Conclusion Tumor is the leading cause of pericardial effusion.The main cause for misdiagnosis is usually diagnosed other causes as tumor.
Keywords:Pericardial effusion  Etidogy  Misdiagnosis
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