目的回顾性总结分析心包积液患者的病因分布特点及临床类型,探究其变化规律,提高病因诊断。方法对我院2001年01月至2008年12月因心包积液住院的102名患者的临床资料进行分析。结果心包积液常见病因依次为肿瘤(25.5%),结核(22.6%),心力衰竭(19.4%),非特异性(13.8%),尿毒症(9.9%)和结缔组织疾病(6.3%),其他原因引起者占(2.5%)。结论引起心包积液的首要病因为肿瘤,其次为结核;随着诊疗水平的提高,心包积液的病因分布更趋广泛。原因不明的心包积液在排除恶性肿瘤、甲状腺功能减退等常见病因的前提下,试验性抗结核治疗有助于明确诊断。
To analyze the cause and clinical types of pericardial effusion retrospectively, aimed to explore their changing regulation.MethodsThe clinical data of 102 cases with pericardial effusion during Jan,2000 to Dec,2008 were retrospectively analyzed.ResultsThe common cause of pericardial effusion in turn included tumor(25.5%),tuberculosis(22.6%),heart failure(19.4%), non-specificity(13.8%),uraemia(9.9%) and connective tissue disease(6.3%).The percentage of other cause was 2.5%.ConclusionTumor was the leading cause of pericardial effusion and tuberculosis followed by.As the diagnosis and treatment technology proving,we can discover more and more causes of pericardial effusion.In the exception of cancer and hypothyroidism etc,trial treatment of tuberculosis is helpful for the diagnosis of pericardial effusion.