心包疾病 中山医晚周京敏
心 包 疾 病 中山医院 周京敏
General Incidence: low 1.5-6 急性心包炎 慢性缩窄性心包炎 慢性心包积液 粘连性心包炎
General • Incidence: low • 1.5-6% • 急性心包炎 • 慢性缩窄性心包炎 • 慢性心包积液 • 粘连性心包炎
Chest pain Inflammation of visceral and parietal cardiac sac resolved fibrous Surgery fluid effusion Effusion Chronic restrictive pericarditis dyspnea Cardiac tam pomade Heart Failure Dyspnea, JV distension, BP+
Inflammation of visceral and parietal cardiac sac Effusion Chronic restrictive pericarditis Cardiac tamponade fluid dyspnea Chest pain resolved fibrous Surgery Heart Failure effusion Dyspnea, JV distension, BP↓
Etiology Acute pericarditis C-Constr-Peric Non-specific ++++ +++ Tumor +++ TB ++ ++++ Radiation therapy ++ System disease Physical and chemical factors
Acute pericarditis C-Constr-Peric Non-specific + + + + + + + Tumor + + + + TB + + + + + + Radiation therapy - + + + System disease + + Physical and chemical factors + + Etiology
Clinical Manifestation ---Symptoms Acute pericarditis C-Constr-Peric Chest pain +++ fibrous Pleurotic. Postural Dyspnea +---++ fluid +++ Fast and thin General Fe ever + fatigue +++ ascites ++ wasting +
Clinical Manifestation --- Symptoms Acute pericarditis C-Constr-Peric Chest pain + + + + fibrous Pleurotic, Postural - Dyspnea + --- +++ fluid Fast and thin + + + + General Fever ---- + + - fatigue - + + + ascites - + + + wasting - + +