心包疾病pericardialdisease中山大學(xué)內(nèi)科學(xué)-資料下載頁
2025-01-17 12:05本頁面
【正文】 rial infection ? Viral infection ? TB ? Malignancy ? Collagen vascular disease ? 2. Relieving pain and inflammation: ? NSAIDs and steroids ? symptoms are severe, pericardiocentesis is indicated to remove fluid. Constrictive pericarditis Definition Constrictive pericarditis is a thickening and fibrosis of the pericardium that occurs long after an acute episode of pericarditis. It produces decreased diastolic filling. Etiology ? TB is a leading cause in underdeveloped countries including China, about 40%. ? Others: Purulent inflammation, Pericardial injury, Radiation therapy etc. Clinical Manifestations Symptoms: ? Dyspnea on exertion and orthopnea ? Other symptoms ? Hypodynamia ? Big belly Physical Signs: ? Distended jugular vein ? Kussmaul sign ? Edema, ascites ? Heart sounds are distant and a pericardial knock is detected after S2 ? SBP↓、 DBP↑、 pulse pressure↓ Laboratory findings ? Radiography/CT/MRI ? Pericardial calcification ? ECG ? Low voltage in limb leads ? T wave is low or upside down ? Atrial arrhythmias. ? Echocardiography ? Pericardial thickening in most cases can be demonstrated Diagnosis of Constrictive pericarditis of systemic circulation: distended jugular vein, edema knock on auscultation ,Magic resonance, puted tomography, or echocardiographic imaging showing a thickened or calcified pericardium Treatment as early as possible. therapy may be required if the underlying cause is tuberculosis and should be continued for 1 year. Thank you! Mobile phone:13538711610 Email: 曾武濤
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