摘要
目的探讨结核性心包炎(tuberculosis pericarditis,TBP)的临床表现、诊断方法和预后。方法收集我院40例TBP患者的临床资料进行回顾性分析。结果 TBP继发于心包外的结核而发病,渗出性TBP和缩窄性TBP的临床症状有所不同,心包液的化验检查对TBP具有较高的诊断价值,但结核菌在心包液中难以检出,PPD皮试、心电图、超声心动图、X线胸片、胸部CT对TBP的诊断均有一定的参考意义,TBP的预后远较其他浆膜结核恶劣。结论提高对TBP临床特点的认识,积极完善相关检查综合分析,以提高对TBP诊治的成功率。
Objective To explore the clinical manifestations,diagnosis and prognosis of tuberculosis pericarditis（ TBP） patients. Methods The clinical data of 40 tuberculosis pericarditis patients were collected and retrospectively analyzed. Results TBP was secondary tuberculosis which was first onset in other parts of the body. The clinical symptoms were different from effusive tuberculosis pericarditis and constrictive tuberculosis pericarditis patients. Laboratory examination of pericardial fluid had a high diagnostic value for TBP,but tuberculosis bacterial was difficult to check out in the pericardial fluid. PPD skin test,electrocardiogram,echocardiogram,X-ray and chest CT had some reference value for the diagnosis of TBP. The prognosis of TBP was worse than other serous tuberculosis.Conclusion The diagnosis and treatment success rate for TBP can be improved by understanding of the clinical features of TBP and actively completing and comprehensive analyzing the relevant checks.
出处
《临床肺科杂志》
2015年第4期586-588,共3页
Journal of Clinical Pulmonary Medicine
基金
"十二五"国家科技重大专项(No 2013ZX10005004)
关键词
结核
心包
临床分析
tuberculosis
pericardium
clinical analysis
