Clinical and pathotogical characteristics of constrictive pericarditis in China
10.3321/j.issn:0253-3758.2008.09.011
- VernacularTitle:结核所致缩窄性心包炎的临床病理分析
- Author:
Li-Hua ZHANG
1
;
Chao NI
;
Li-Lin GUO
;
Li-Gang FANG
;
Qin LIN
;
Qiao-Bei GUO
;
Wen-Ling ZHU
Author Information
1. 中国医学科学院北京协和医学院北京协和医院
- Keywords:
Tuberculosis;
Pericarditis,constrictive;
Echocardiography
- From:
Chinese Journal of Cardiology
2008;36(9):812-815
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical and pathological characteristics of constrictive pericarditis in Chim.Method Data from 150 patients with constrictive pericarditis who admitted to our hospital from 2000 to 2007 were retrospectively analyzed.Results Constriction pericarditis was detected b、r echocardiography in 149 out of 150 patients.Pericardial effusion Wag evidenced in 59.3% patients ( 89/150).The diagnostic accuracy rate for identifying constrictive pericarditis by echocardiography(98.7%,107/109)Wfm comparable to that of surgical diagnosis (100%,109/109).Tuberculosis was the main cause of constrictive pericarditis in this cohort (78.7%,1 18/150) including 25 (16.7%) cases with pathological or etiological evidencos of tubercular pericarditis,8(5.3%)cases with pathololocally active tuberculotIS focus elsewhere in the body,66 (44.O%)Cases with typical clinical tuberculosis manifesmfion and responded to anti-tubercular therapy and 19(12.7%) cases with a diagnosis of suspicious tuberculosis.Pericardiectomy was performed in 108 cases and pericardial biopsy and surgical drainage WaS performed in 1 patient.In hospital death rate wag 8.7%(13/150,4 tubereular patients and 9 non-tubercular).Conclusion Tuberculosis iS the leading cause of constrictive pericarditis in this cohort and the best diagnosis tool is echocardiography other than pathological and etiological findings in pericardium.
