心包积液81例病因及误诊分析

Analysis of causes and misdiagnosis of pericardial effusion:a report of 81 cases

摘要: 目的：分析引起心包积液的病因与误诊原因。方法：对2002～2010年收治的81例心包积液患者的临床资料进行回顾性分析。结果：81例心包积液的主要病因依次是肿瘤性19例(23.4%)，结核性16例(16.0%)，心力衰竭性11例(13.6%)，非特异性9例(11.1%)，甲状腺功能减退性7例(8.6%)，尿毒症性5例(6.2%)，其他病因及诊断不明者17例(20.1%)，误诊9例(11.1%)。结论：肿瘤是引起心包积液的首要病因，且肿瘤性心包积液误诊为结核性及非特异性较多。

Abstract: Objective:To summarize the causes and reasons for misdiagnosis of pericardial effusion.Methods:The clinical data of 81 cases of pericardial effusion during 2002 to 2010 in Lu'an Hospital were analyzed retrospectively.Results:Among the 81 cases of pericardial effusion,19 were induced by tumor(23.4%),16 by tuberculosis(16.0%),11 heart failure(13.6%),9 nonspecific causes(11.1%),7 hypothyroidism(8.6%),5 uremia(6.2%) and 17 other causes or unknown causes(20.1%),misdiagnosis occurred in 9 cases(11.1%).Conclusions:Tumor is the leading cause of pericardial effusion.Tumor-induced pericardial effusion is most easily misdiagnosed as that induced by tuberculosis or nonspecific causes