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本文报告经普通治疗无效的3例尿毒症性心包炎使用类固醇治疗后反应显著。病例报告例1,男性54岁,于1972年6月6日因尿毒症入院。肾活检显示增生性血管球性肾炎。最初用腹膜透析治疗。6月18日发生胸骨下痛,体温38℃、及心包摩擦音。心电图示非特殊性ST—T改变。6月20日开始血液透析治疗。胸痛及发热于3天内消退;但心包摩擦音持续。7月4日,胸痛复发。连续胸片证实心影增大,7月18日发现颈静脉扩张,肝火,体温38.3℃,脉搏每分钟120次。
This article reports the general treatment of ineffective 3 cases of uremic pericarditis after steroid treatment response was significant. Case report 1, male, 54 years old, admitted to uremia on June 6, 1972. Renal biopsy showed proliferative glomerulonephritis. Initially treated with peritoneal dialysis. Sternal pain occurred on June 18, body temperature 38 ℃, and pericardial friction sound. ECG shows non-specific ST-T changes. June 20 hemodialysis treatment started. Chest pain and fever subsided within 3 days; however, the pericardial frictional tone continued. July 4, recurrent chest pain. Continuous chest X-ray confirmed increases, July 18 found jugular vein dilatation, anger, body temperature 38.3 ℃, pulse 120 beats per minute.