关键词: 结核,心包, 临床分析

Abstract: Objective To improve the diagnostic and therapeutic level through the analysis of the clinical characteristics of tuberculosis pericarditis(TP).Methods Retrospective analysis on the clinical data of 36 cases of TP.Results (1) Youth and adult cases was most common.(2) Fever,chest pain and oppressed feeling were the most frequent clinical symptoms of TP.Abdominal distension and dyspnea were the most frequent clinical symptoms of constrictive tuberculosis pericarditis(CTP).(3) most of TP were complicated with bilateral pleurisy.A few were complicated with other cavity hydrops.(4) Most of pericarditis were hemorrhagic effusion and fibrose effusion was common.ADA detection was significance for diagnosis of effusive tuberculosis pericarditis(ETP) besides pericarditis routine and biochemistry.(5) Echocardiographic(Echo) examination is a sensitive,reliabal and feasible method to detection of pericarditis.Echo combined with CT examination was a highly value in diagnosis of CTP.(6)The clinical efficacy of chemotherapy with rifampicin containing regime yielded satisfactory clinical efficacy.Surgery was the most efficient therapy.Conclusion To those febrile accompanied with chest pain and oppressed feeling youth-prime of life patients,the physician should pay attention to the investigation of chest film,Echo and pericarditis routine,biochemistry,ADA detection to rule out ETP.To those abdominal distention and dyspnea youth-prime of life patients,CT examination is necessary as well to rule out CTP.Early diagnosis and treat with RFP contriving regime may yield the satisfactory results.

Key words: Tuberculousis,pericardium, Clinical analysis