689例心包积液病因及误诊分析

Analysis of the Causes of Pericardial Effusion and the Misdiagnosis in 689 Cases

目的：分析心包积液病因变化及误诊原因。方法：病例回顾分析。结果：结核性、非特异性、肿瘤性、心力衰竭性及尿毒症性心包积液分别占６８９例心包积液的２５．５％、１２．６％、１２．２％、６．５％和６．１％，其他各种原因所致者合计占３７．１％。结核性心包积液由８０年代中期以前的２９．０％降至８０年代中期以后的２２．３％（Ｐ＜０．０５），而肿瘤性心包积液则由９．９％升至１４．１％（Ｐ＜０．０５）。结论：结核性心包积液比例明显下降，而肿瘤性心包积液所占比例则明显上升。

Objective:To summarize the causes of pericardial effusion and analyse the misdiagnosis. Methods:Retrospective analysis of 689 cases of pericardial effusion. Results:The percentages of tuberculous,nonspecific,tumorous,heart failure and uremigenic pericardial effusion were 25 5%,12 6%,12 2%,6 5% and 6 1%,respectively.The percentage of other causes was 37 1%.The percentage of tuberculous pericardial effusion in the middle of 1980s was 29 0% and down to 22 3% ( p <0 05) later;while that of the tumorous one from 9 9% rised to 14 1% ( p <0 05). Conclusion:The percentage of tuberculous pericardial effusion reduced,while tumorous one increased markedly.The major misdiagnosis of causes of pericardial effusion is to diagnose the tumorous one as others.