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目的了解心包积液患者的病因分布特点与临床类型。方法对兰溪市人民医院2000-01-01～2007-01-20因心包积液住院患者共68例进行回顾性分析。结果结核性心包积液居首位(45.6%)。肿瘤性心包积液近年来有上升趋势,具有积液量大、增长迅速,愈后差的临床特点。结论结核性心包积液居发病首位,关注心包积液病因及临床分型,对治疗具有指导意义。心包穿刺引流术是一项行之有效的规范化治疗措施。
Objective To understand the etiology and clinical characteristics of patients with pericardial effusion. Methods A total of 68 hospitalized patients with pericardial effusion in Lanxi People’s Hospital from January 2000 to January 2007 were retrospectively analyzed. Results tuberculous pericardial fluid ranks first (45.6%). Tumor pericardial effusion in recent years, an upward trend, with a large amount of fluid, rapid growth, the worse the clinical features. Conclusions Tuberculous pericardial effusion ranks first in the pathogenesis and focuses on the etiology and clinical classification of pericardial effusion, which is instructive for the treatment. Pericardiocentesis drainage is an effective standardized treatment.