查詢結果分析
來源資料
頁籤選單縮合
題 名 | Clinical Response of Tuberculous Pericarditis to Medical Treatment: A Retrospective Survey=結核性心包炎對內科治療之臨床反應:回顧性探討 |
---|---|
作 者 | 陳威廷; 陳啟健; 余福九; 沈建業; 林昌琦; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:1 1996.07[民85.07] |
頁 次 | 頁7-11 |
分類號 | 415.3164 |
關鍵詞 | 狹窄型心包炎; 結核性心包炎; Constrictive pericarditis; Tuberculous pericarditis; |
語 文 | 英文(English) |
中文摘要 | 背景 由於抗結核藥物的使用,使結核菌的傳播得以控制。然而,在 結核菌所致之狹窄型心包炎的發生並未因此而減少。我們的目的在於探討接受 抗結核藥物治療之結核性心包炎患者其臨床過程。 方法 分析13位一開始即接受抗結核藥物治療之結核性心包炎患者(其中11 位男性,2位女性;年齡從14歲至86歲,平均60.0 +/- 17.0歲),所有病人皆接 受心包膜穿刺術並心臟超音波追蹤掃描。 結果 氣喘是最常見之臨床表徵。10位患者抽出之心包膜液呈血色,而淋巴 球為多數之心包膜液占所有患者的78%。中性球為主之心包膜液一般常呈現血 色,且縱然經抗結核藥物治療,仍易進行至狹窄型心包炎。5位患者因發展成 狹窄型心包炎,皆於平均住院3.5個月內接受心包膜切除術;而其中3位先前 已接受心包切開術。 結論 在開始藥物治療之前3個月內,發生狹窄型心包炎的機會很高,因此心 臟超音波追蹤是必要的。而心包切除術似乎是解決狹窄型心包炎的唯一方法。 |
英文摘要 | Background. The prevalence of tuberculosis has declined with advanced antituberculous chemotherapy. However, the occurrence of subsequent constrictive pericarditis in tuberculosis has not reduced. Clinical progress of tuberculous pericarditis was investigated in patients receiving antituberculous chemotherapy. Methods. Thirteen patients with tuberculous pericarditis (11 men and 2 women aged 14 to 86 years [mean 60.0 +/- 17.0]), treated initially with antituberculous medications were analyzed. All patients underwent pericardiocentesis on admission following echocardiography. Results. Dyspnea was the most common clinical pictures. Bloody effusion fluids were noted in 10 patients. Moreover, the lymphocytic fluids were present in 78% of all patients. The neutrophilic fluids tended to have a bloody color, and there was progress to constrictive pericarditis even for those on anti-tuberculous chemotherapy. Five patients with subsequent constrictive pericarditis received pericardiectomy within 3.5 months of admission. Three of them received pericardiectomy later, despite pericardial window procedure. Conclusions. Follow-up by echocardiogram is necessary within three months after commencing medical treatment because of the high incidence of progression constrictive pericarditis despite aggressive medical treatment. Pericardiectomy seems to be the only solution to the catastrophic outcome of constrictive pericarditis. |
本系統中英文摘要資訊取自各篇刊載內容。