论文部分内容阅读
郭×,男,59岁。因结核性心包炎伴心包积液于1994年8月27日入院(曾在外医院检查、治疗)。胸透:心影稍增大(活动不明显)。心电图:QRS低电压,ST—TⅡⅢaVF略压低。心脏彩超:于左房至右室心包内可探及液性暗区,左室后下壁可深达2.5cm。化验室检查:OT试验阳性。入院前后共用抗痨药物三个月,其间还用青霉素等抗菌药。症状无改善。9月6日心脏彩超示:心包内积液加深达2.93cm。9月22日～11月10日加用高压氧间断治疗共25次。积液渐降为1.91cm～1.46cm～0.86cm～0.54cm。11月18日痊愈出院。
Guo ×, male, 59 years old. Due to tuberculous pericarditis with pericardial effusion was admitted on August 27, 1994 (in the hospital for examination, treatment). Chest throat: slightly increased heart shadow (activity is not obvious). ECG: QRS low voltage, ST-T Ⅱ Ⅲ aVF slightly lower. Echocardiography: In the left atrium to the right ventricular pericardium can detect and liquid dark area, the left ventricular posterior wall can be as deep as 2.5cm. Laboratory tests: OT test is positive. Common anti-tuberculosis drugs before and after admission for three months, during which penicillin and other antibacterial drugs. No improvement in symptoms. Sept. 6, cardiac ultrasound showed: pericardial effusion deepened 2.93cm. September 22 ~ November 10 plus intermittent treatment with hyperbaric oxygen a total of 25 times. Fluid gradually decreased to 1.91cm ~ 1.46cm ~ 0.86cm ~ 0.54cm. November 18 recovered and discharged.