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本文报告了3例癌性心包炎,并复习了有关文献,讨论了近十年来非感染性心包炎增多的趋势。恶性肿瘤引起癌性心包炎多为转移癌所致、男性以肺癌为多。心包积液均为陈旧血性,心包填塞为临床突出表现,原发癌症状常常被掩盖,判定困难。心包穿刺细胞学检查仍然是定性诊断的重要方法。指出极积周身局部综合治疗,但不可忽视心包填塞的急诊处置。
This article reports on 3 cases of cancerous pericarditis and reviewed the literature to discuss the trend of increased non-infectious pericarditis in the past decade. Malignant tumors cause cancerous pericarditis mostly due to metastatic cancer and males have more lung cancer. Pericardial effusions are old bloody, and pericardial tamponade is a prominent clinical manifestation. Primary cancers are often concealed and difficult to determine. Pericardial cytology remains an important method of qualitative diagnosis. Pointed out that there is a plethora of local comprehensive treatment, but emergency treatment of pericardial tamponade should not be ignored.