尿毒症性心包炎40例临床诊治分析  

The clinical analysis of diagnose and treatment on 40 eases of patients with pericarditis caused by uremia

作　　者：叶艳芳 杨爱成 

机构地区：[1]广东江门市五邑中医院,529000

出　　处：《医学信息（下旬刊）》2011年第7期135-136,共2页Medical information

摘　　要：目的：探讨尿毒症性。包炎的诊断方法和治疗手段。方法：40例尿毒症性。包炎患者作为研究，结合临床表现和多项检查给予准确诊断，并给予综合治疗，针对心包炎的药物治疗和心包穿刺，默度针对尿毒症的低通量血液透析联合血液灌流治疗。结果：治疗期间，患者未出现病情恶化和死亡病例。其中症状好转32倒，病情稳定8例，有效率达到80％，总有效率达到100％。结论：在综合治疗的基础上，给予患者尿毒症和心包炎同时对症治疗，可以有效改善心包炎病情，稳定尿毒症病情，值得临床进一步考虑。Objective： To explore the diagnose methods and treatment program of pericarditis caused by uremia. Methods： 40 cases of patients with pericarditis caused by uremia as studied object, given exact diagnose through clinical syndrome and many examines, and given comprehensive treatment, drug treatment and perlcardiocentesis targeted for pericarditis, LHD and LHD targeted for uremia. Results： During treatment period, there was no case of worsen and death, turning better cases 32 and turning stable cases 8, the effective rate was 80% and total effective rate was 100%. Conclusion： On base of comprehensive treatment, given symptomatic treatment for pericarditis and uremia at the same time, can improve disease of pericarditis and steady dis- ease of uremia effectively , so it deserved considering in clinical work further more.

关 键 词：尿毒症 心包炎 诊断方法 治疗手段 

分 类 号：R542.1[医药卫生—心血管疾病]