56例心包积液病因及误诊治疗的分析  

The etiology and misdiagnosis of 56 cases with pericardial effusion

作　　者：李纪远[1] 马新[1] 曹劝省[1] 

机构地区：[1]河南科技大学第一附属医院心胸外科,河南洛阳471003

出　　处：《中国医药导报》2010年第27期112-113,共2页China Medical Herald

摘　　要：目的:分析心包积液的病因及误诊原因。方法:回顾分析我院2000年9月～2008年12月诊断有心包积液的病例56例。结果:心包积液病因依次是结核性26.8%,肿瘤性25.0%,心力衰竭性17.9%,结缔组织病8.9%,其他病因及诊断不明的占14.4%。误诊5例。结论:肿瘤性心包积液和结核性心包积液发病率高。误诊主要发生在肿瘤性、结核性、结缔组织病之间。Objective：To summarize the causes of pericardial effusion and analyze the reasons of misdiagnosis.Methods：The clinical data of 56 patients with cardial effusion from September 2000 to December 2008 in our hospital were analyzed retrospectively.Results：The causes of pericardial effusion included tuberculosis 26.8%,tumor 25.0%,heart failure 17.9%,connective tissue disease 8.9%,others causes and diagnosis unknown 14.4%.5 case were misdiagnosis.Conclusion：Tumor and tuberculosis are higher causes of pericardial effusion.The major misdiagnosis causes are among tumor,tuberculosis and connective tissue disease.

关 键 词：心包积液 病因 误诊 

分 类 号：R542.1[医药卫生—心血管疾病]