缩窄性心包炎诊治现状及进展

Current status and progress in diagnosis and treatment of constrictive pericarditis

缩窄性心包炎是不同原因造成的心包慢性炎症,表现为心包丧失弹性,心脏舒张受限,进而全身血液循环障碍。部分患者发病隐匿,缺乏典型临床表现。临床医师需通过详细的超声心动图、CT、核磁共振和右心导管检查来识别特征性的影像表现,外科手术剥离心包是有效治疗方法。该病误诊漏诊率高,为此本文综述了该病的诊治现状及进展。

Constrictive pericarditis,chronic pericardial inflammation caused by a variety of causes,is characterized by pericardial inelasticity, cardiac relaxation,and systemic blood circulation disorder. Some patients have occult onset and lack typical clinical manifestations. Clinicians need detailed echocardiography,CT,MRI,and right cardiac catheterization to identify characteristic imaging features . Surgical pericardiectomy serves as an effective treatment. The misdiagnosis and missed diagnosis rate of this disease is high. This article reviews the status and progress in its diagnosis and treatment.