80例心包积液患者临床病因及误诊分析

目的:分析心包积液患者的病因及误诊原因。方法:收集彭州市人民医院和成都市第五人民医院1997~2006年心包积液患者80例,对其临床资料进行回顾分析。结果:心包积液的常见原因依次为肿瘤性(25·0%)、结核性(18·8%)、非特异性(13·7%)、心力衰竭性(12·5%)、尿毒症性(10·0%),其他原因(20·0%)。其中有6例误诊。结论:结核性心包积液比例明显下降,而肿瘤性心包积液所占比例明显上升,已成为心包积液的首要原因。误诊的主要原因是将肿瘤性心包积液诊断为其他性质的心包积液。

Etiologic and Misdiagnosis Analysis in 80 Patients with Pericardial Effusion

Objective:Analysis of etiology and misdiagnosis in patients with pericardial effusion.Methods:Eighty patients are collected in our hospital from 1997-2006,and retrospective analysis of their clinical data is made.Results:By turn,common causes of pericardial effusion are tumor(25.0%),tuberculosis(18.8%),non-specificity(13.7%),heart failure(12.5%),uremia(10.0%),and others(20.0%).6 patients were misdiagnosised.Conclusion:Proportion of tuberculous pericardial effusion decreased obviously,but proportion of tumorous pericardial effusion increased,it had been the most important reason.