心包积液52例临床分析

目的探讨心包积液的病因和诊治特点。方法回顾分析1997年1月-200年12月52例心包积液患者的临床资料。结果心包积液主要病因依次是肿瘤（36.54％）；心力衰竭（23．08％）；结核性（13.46％）；甲状腺机能减退（9.62％）。大量心包积液见于肿瘤、结核、心力衰竭。心包腔内置管引流可缓解心包反复填塞症状。结论肿瘤、心力衰竭、结核性、甲状腺机能减退是心包积液的主要病因，心包腔内置管引流是解决心包填塞的较好方法。

Objective To investigate etiopathogenisis of hydrops pericardil and its diagnositic and treatment characteristic. Methods Retrospective analysis was carded out to study the 52 patients with hydrops pericardil from January 1997 to December 2007. Results It is in turn that the main cause of hydrops pericardil： Tumour （36.54%）; Heart failure （23.08%）;Tuberculosis （13.46%）; Hypothyreo （9.62%）.Bulk pericardia accumulate the fluid to see in patients that with tumor, tubercular, or heart failure, The pericardium sets the tube drainage can relieving the pericardium plugging symptom repeatedly. Conclusion They are main cause of hydrops pericardil that tumour, heart failure, tuberculosis, hypothyreosis. The pericardium sets the tube drainage is a better method to solve pericardial tamponade.