Tuesday, March 11, 2008
Subacute exudate constrictive pericarditis
Subacute exudate outlined constrictive pericarditis is the visceral pericardium narrow accompanied by a great deal of pericardial effusion of a special type of disease. From tuberculosis, recurrent non-specific pericarditis, trauma, radiation, rheumatoid arthritis, uremia, scleroderma caused. Some unknown reasons. Clinical manifestations of both pericardial tamponade and narrow the performance, Kellett veins more constrictive pericarditis were seen. X-ray showed a marked widening of cardiac and pericardial calcification seen very little impact. Pericardial gas injection after angiography see a layer of pericardial thickening, cardiac normal or reduced. QRS ECG said low-voltage, Low, or T-wave inversion, pericardial fluid puncture, central venous pressure and right atrial pressure was maintained at the existing levels. Right atrial pressure curve tilted significantly X or Y tilt equal, beware packet fluid, Y tilt deepened. The disease often progress in a year of constrictive pericarditis. Used hormone therapy and cardiac puncture can be achieved despite a temporary effect, but can not prevent its development of constrictive pericarditis. they rely mainly on the treatment of pericardial dissection.
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