心包积液原因待查的病因分析(附80例病例报告)

目的 回顾性分析以心包积液为首发和/或为主要临床表现的病例,了解其病因构成。方法 分析总结北京协和医院(PUMC hospital)10年来以心包积液待查入院诊断的病例80例。结果 获得明确诊断的病例有63例(78.75％),结核性占首位(43.75％),肿瘤居第二(16.2％),不明原因17例(21.25％)。治愈6例(7.5％),好转61例(76.25％),死亡5例(6.25％),无变化8例(10％)。结论 以原因不明心包积液就诊者,结核仍占首位,此类疾病在诊断特发性心包炎之前需进一步除外恶性肿瘤及甲状腺功能减退。

Etiological analysis of the patients with pericardial effussion to be diagnosis(with report of 80 cases)

Objective To investigate the cause of pericardia! effusion (PE) of unknown origin or as primary clinical symptom. Methods The clinical data of 80 cases with pericardial effusion admitted to PUMC hospital from 1990 to May 2000 were analyzed retrospectively. All the cases had not been diagnosed before they were admitted to the hospital. Results 63 cases were got the specific diagnosis. The most common cause of PE was tuberculosis (43. 75%), the next was tumour(16. 25%). After various examinations there were still 17 cases whose underlying disease could not be decleared,Idiopathic pericarditis was diagnosed before they left hospital. After treatment six cas-es(7. 5%)recovered completely, 61 cases(76. 25%) improved, 8 cases(10%) had no response to the treatment, 5 cases(6. 25%) died, the mortality is 6. 25%. Conclusions Tuberculosis was still the most common reason for PE of unknown origin. And we need to rule out the diagnosis of tumour or hypothyroidism before we diagnose idiopathic pericarditis. If the cause of the PE can be identified, the patient should be followed up closely.