心包炎的临床诊治

Pericarditis

心包炎是临床常见病,其病因可分为感染性和非感染性两大类。心包炎的临床表现多种多样,在各个临床科室都可能会碰到心包炎患者。心包炎的临床类型主要包括以下几种:急性心包炎、慢性心包炎、心包积液、心包压塞、缩窄性心包炎等。近些年尽管在心包炎的诊治上取得了一些进展,但因循证医学证据的缺乏目前临床上心包炎的诊治仍是以经验治疗为主。急性心包炎的自然病程往往呈自限性,预后较好,所以治疗上以支持治疗为主。一旦心包炎的病因明确,其治疗则是以病因治疗为主。

Pericarditis-inflammation of the pericardium-is a common disorder that has multiple causes including intectious or noninfectious noxa. Pericarditis with wide range of clinical manifestations can be encountered in various clinical settings, The main forms of pericarditis include acute and chronic pericarditis, pericardial effusion with or without cardiac tamponade, and constrictive pericarditis. Although the diagnosis and management of pericarditis have improved, the treatment of pericardial diseases is largely empirical and remains a challenging problem in clinical practice because of the relative lack of randomized trials compared with other cardiovascular diseases. The natural history of acute pericarditis which is self - limiting is commonly benign and,therefore ,treatment is largely supportive. If a specific cause is identified, treatment should be targeted to the cause