水肿、气促、多浆膜腔积液的缩窄性心包炎病例1例

A Case of Constrictive Pericarditis with Ede-ma, Shortness of Breath and Multiple Serous Effusion

缩窄性心包炎典型表现多表现为心悸、气促、乏力等,心脏彩超可有心包粘连、增厚或钙化,明确诊断不难,但在临床上,有相当一部分CP起病隐匿,临床表现不典型,给临床工作带来一定难度及挑战。本文报道了一例反复双下肢水肿、气促、多浆膜腔积液为主要表现,起初诊断为肝硬化,后再全科诊疗思路下诊断为缩窄性心包炎的病例1例,并重点阐述了全科管理模式下减少了再入院率,为患者减轻经济负担。

The typical manifestations of constrictive Pericarditis are mostly palpitations, shortness of breath, fatigue, etc. The color Doppler echocardiography can show pericardial adhesion, thickening or calci-fication, which is not difficult to make a clear diagnosis. However, clinically, a considerable number of CP onsets are hidden, and the clinical manifestations are not typical, which brings some difficul-ties and challenges to clinical work. This paper reports a case of recurrent edema, shortness of breath, and multiple serous cavity effusion in both lower limbs, which was initially diagnosed as cirrhosis, and then diagnosed as constrictive Pericarditis under the general practice. It focuses on the reduction of readmission rate under the general practice management mode to reduce the eco-nomic burden of patients.