心包积液73例病因分析

Etiological factor analysis of 73 pericardial effusion patients

目的了解导致心包积液的病因及其年龄构成，以提高临床诊疗水平，降低误诊率。方法对73例心包积液患者按照年龄分为青少年组、中年组与老年组，分别分析其致病因素与病因的年龄构成特点。结果肿瘤、心力衰竭、结核、非特异性心包炎、非结核性细菌感染是主要致病因素，另外肾功能不全、外伤、心肌炎、急性心肌梗死、胶原组织病、甲状腺功能减退也是致病因素。三组患者致病因素构成的比较差异有统计学意义（P〈0．01）。结论心包积液的致病因素受多种因素的影响，且年龄构成差异大。

Objective To find out the etiological factor characteristics and age composition of pericardial effusion,to improve clinical diagnosis and treatment,reduce the misdiagnosis rate. Methods 73 pericardial effusion patients in our department were admitted by age into youth group, middle age group and elderly group, and the etiological factor characteristics and age composition of pericardial effusion were analyzed respectively. Results The main pathogenic factors of 73 pericardial effusion patients were cancer, heart failure, tuberculosis, non-specific pericarditis, nontuberculous bacterial infections, as well as renal failure, pulmonary infection, trauma, myocarditis, acute myocardial infarction, collagen disease, hypothyroidism. There was statistically significant of etiological factors on the three groups （P 〈 0.01）. Conclusion Pathogenic factors of pericardial effusion were affected by many factors, and the significant difference in age composition should be well focused in clinical practice.