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Clinical and pathological characteristics of constrictive pericarditis in China / 中华心血管病杂志
Zhonghua xinxueguanbing zazhi ; (12): 812-815, 2008.
Article de Zh | WPRIM | ID: wpr-355889
Bibliothèque responsable: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the clinical and pathological characteristics of constrictive pericarditis in China.</p><p><b>METHOD</b>Data from 150 patients with constrictive pericarditis who admitted to our hospital from 2000 to 2007 were retrospectively analyzed.</p><p><b>RESULTS</b>Constriction pericarditis was detected by echocardiography in 149 out of 150 patients. Pericardial effusion was evidenced in 59.3% patients (89/150). The diagnostic accuracy rate for identifying constrictive pericarditis by echocardiography (98.7%, 107/109) was comparable to that of surgical diagnosis (100%, 109/109). Tuberculosis was the main cause of constrictive pericarditis in this cohort (78.7%, 118/150) including 25 (16.7%) cases with pathological or etiological evidences of tubercular pericarditis, 8 (5.3%) cases with pathologically active tuberculous focus elsewhere in the body, 66 (44.0%) cases with typical clinical tuberculosis manifestation 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 was 8.7% (13/150, 4 tubercular patients and 9 non-tubercular).</p><p><b>CONCLUSION</b>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.</p>
Sujet(s)
Texte intégral: 1 Indice: WPRIM Sujet Principal: Anatomopathologie / Péricardite constrictive / Péricardite tuberculeuse / Échocardiographie / Études rétrospectives / Diagnostic / Microbiologie / Mycobacterium tuberculosis Type d'étude: Diagnostic_studies / Observational_studies / Prognostic_studies Limites du sujet: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male langue: Zh Texte intégral: Zhonghua xinxueguanbing zazhi Année: 2008 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Anatomopathologie / Péricardite constrictive / Péricardite tuberculeuse / Échocardiographie / Études rétrospectives / Diagnostic / Microbiologie / Mycobacterium tuberculosis Type d'étude: Diagnostic_studies / Observational_studies / Prognostic_studies Limites du sujet: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male langue: Zh Texte intégral: Zhonghua xinxueguanbing zazhi Année: 2008 Type: Article