论文部分内容阅读
目的 探讨渗出性心包炎的病因诊断及心包切除指征。方法 17例均行心包切除术。11例术前诊断与术后病理诊断一致,其中化脓性心包炎8例,结核性心包炎1例,放射性心包炎2例;术前诊断特发性心包炎6例中,术后病理诊断4例为结核性,余2例为非特异性炎症。结果 2例术中心跳缓慢、无力,经治疗恢复,无术后并发症。随访1～10年,病儿心功能良好。结论 结核性心包炎、病毒性心包炎病因诊断困难,心包切除除其治疗作用外,还有诊断价值。对渗出性心包炎内科治疗效果不好者应及时行心包切除术,以解除心包填塞及预防心包缩窄,同时也切除了病灶。
Objective To investigate the etiological diagnosis of exudative pericarditis and the indication of pericardiocentesis. Methods 17 cases underwent pericardiotomy. 11 cases of preoperative diagnosis and postoperative pathological diagnosis, including purulent pericarditis in 8 cases, 1 case of tuberculous pericarditis, 2 cases of radioactive pericarditis; preoperative diagnosis of idiopathic pericarditis in 6 cases, postoperative pathological diagnosis of 4 Cases of tuberculosis, the remaining two cases of non-specific inflammation. Results 2 cases of intraoperative heartbeat slow, weakness, recovery after treatment, no postoperative complications. Follow-up 1 to 10 years, sick children with good heart function. Conclusions Tuberculous pericarditis and viral pericarditis are difficult to diagnose. In addition to its therapeutic effect, pericardiocentesis has diagnostic value. On the exudative pericarditis medical treatment should be promptly performed pericardiotomy in order to relieve pericardial tamponade and tamponade, but also removed the lesion.