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1228 缩窄性心包炎王文茂等陕西新医药10(2):15,1981西安医学院第一附属医院自1975年以来经手术证实的110例心包缩窄患者中,70例(63.7%)临床表现典型,能早期诊断,及时手术,取得了较好的疗效;其余40例(36.3%)症状不典型,其中类似肝硬化者23例(20.9%),心肌病者6例,风湿性心脏病者5例,肾病综合征者5例,蛋白丢失肠病者1例,这些病例均因未能早期诊断而影响疗效。作者认为以下一些条件对诊断不典型的心包缩窄可供参考:①发病比较隐袭,发展慢,在腹水形
1228 constrictive pericarditis Wang Wenmao and other new medicine in Shaanxi 10 (2): 15,1981 Xi’an First Affiliated Hospital of Surgery since 110 cases of pericardial stenosis confirmed by surgery, 70 patients (63.7%) clinical manifestations Typical, early diagnosis, timely surgery, and achieved good results; the remaining 40 cases (36.3%) atypical symptoms, including cirrhosis in 23 cases (20.9%), 6 cases of cardiomyopathy, rheumatic heart disease 5 cases, 5 cases of nephrotic syndrome, 1 case of protein loss of enteropathy, these cases are due to failure to early diagnosis and affect the efficacy. The authors believe that the following conditions for the diagnosis of atypical pericardial constriction for reference: ① incidence of insidious, slow development, in ascites