Clinical Analysis Of Pericardial Effusion In47Cases

Objective:To investigate the general stasis, symptoms, physical exhibitions, assisted examination results, especially the feature of the causes in the patients with pericardial effusion,and we can promote the diagnosis skills in clinical practice.Methods:Retrospective analysis of47cases with pericardial effusion in the first affiliated hospital of ZheJiang University from Jan,2009to Dec,2010.Results:Among the patients with pericardial effusion who get diagnoses by ultrasonic cardiogram or CT scan,40cases get the definite causes, and the causes included tumor(12cases,25.53%),tuberculosis(10cases,21.28%),heart,failure,(9cases,19.15%),non specific,pericarditis(5cases,10.64%),SLE(1case,2.13%),hypothyroidism(1case,2.13%),r estrictive cardiomyopathy(lcase,2.13%),right coronary aneurysm rupture into right ventricle(1case,2.13%).While7other cases(14.89%)have find no definite etiological factor. The neoplastic pericardial effusion and tuberlosis pericardial effusion have the first and second highest incidence, and most of them are blood like and medium-large in volume, at the same time,the pericardial effusion with other causes seldom have the appearance of blood like, and most of them are little in volume.Many researches at home and abroad get involved with the examinations、s treatments and many other aspects about pericardial effusion, which gives us a lot ot hints.Conclusions:With the development of the diagnosis and treatment standard, the diagnosis ratio of pericardial effusion is increasingly high. Ultrasonic cardiogram is the most commonly used method to diagnose pericardial effusion, because it is safe, sensitive, effective, reliable, and noninvasive, and it can inspect the abnormality of the cardiovascular internal structure which can help diagnosis. With the current medical technology, the diagnosis of pericardial effusion has not been difficult, it’s more important to make sure of the cause, in order to guide treatment. It is needed to combine the clinical appearance and examination results to get a comprehensive analysis. Among the examinations, pericardial puncture and pericardial biopsy are the significant way to know the property and cause of pericardial effusion, however, they are invasive operations with many serious complications, which destined their limited use in clinical practice.