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目的 探讨超声心动图对缩窄性心包炎诊断的意义。方法 38例体循环淤血患者临床诊断为肝硬化腹水 14例 ,缩窄性心包炎 15例 ,心肌病 5例 ,冠心病 4例 ,全部患者经超声心动图诊断为缩窄性心包炎 ,并与术后病理诊断结果对照分析。结果 术后病理检查与超声心动图对照诊断符合率达 99% ,而与临床诊断的符合率仅为 31% ,P <0 .0 1,其病因诊断为非特异性心包炎 2 1例 ,结核性心包炎 9例 ,化脓性心包炎 8例。结论 超声心动图对缩窄性心包炎的诊断准确性高 ,为外科手术治疗提供了可靠的依据
Objective To investigate the significance of echocardiography in the diagnosis of constrictive pericarditis. Methods Thirty - eight patients with systemic congestion were clinically diagnosed as ascites in cirrhosis, 15 cases of constrictive pericarditis, 5 cases of cardiomyopathy and 4 cases of coronary heart disease. All patients were diagnosed as constrictive pericarditis by echocardiography. Postoperative pathological diagnosis of the control analysis. Results The coincidence rate of postoperative pathological examination and echocardiography control was 99%, but the coincidence rate with clinical diagnosis was only 31%, P <0.01. The etiology was diagnosed as nonspecific pericarditis in 21 cases and tuberculous Pericarditis in 9 cases, purulent pericarditis in 8 cases. Conclusion Echocardiography has high diagnostic accuracy for constrictive pericarditis and provides a reliable basis for surgical treatment