Prospectively, clinical and biochemical data of 83 patients with a diagnosis of pericardial effusion were studied. The etiologies were as follows: Idiopathic: 42 cases(50% ); Tuberculous: 18 cases(22% ); Neoplastic: 1...Prospectively, clinical and biochemical data of 83 patients with a diagnosis of pericardial effusion were studied. The etiologies were as follows: Idiopathic: 42 cases(50% ); Tuberculous: 18 cases(22% ); Neoplastic: 14 cases(17% ); Other: 9 cases(11% ) with a miscellaneous etiology. Sedimentation rate resulted significantly higher in Tuberculous group(67-102), p< 0.05. The highest values of adenosine deaminase in pericardial fluid were observed in Tuberculous group(110 U/l), p< 0.001. Diagnosis of tuberculosis was established by culture of the bacillus in sputum in 8 cases and by pericardial biopsy in 11 patients. Analysis of the pericardial fluid leads to diagnosis in 25 cases(30% ). The pericardial biopsy resulted as the most reliable method for the diagnosis of tuberculous pericarditis.展开更多
文摘Prospectively, clinical and biochemical data of 83 patients with a diagnosis of pericardial effusion were studied. The etiologies were as follows: Idiopathic: 42 cases(50% ); Tuberculous: 18 cases(22% ); Neoplastic: 14 cases(17% ); Other: 9 cases(11% ) with a miscellaneous etiology. Sedimentation rate resulted significantly higher in Tuberculous group(67-102), p< 0.05. The highest values of adenosine deaminase in pericardial fluid were observed in Tuberculous group(110 U/l), p< 0.001. Diagnosis of tuberculosis was established by culture of the bacillus in sputum in 8 cases and by pericardial biopsy in 11 patients. Analysis of the pericardial fluid leads to diagnosis in 25 cases(30% ). The pericardial biopsy resulted as the most reliable method for the diagnosis of tuberculous pericarditis.
