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我院收治缩窄性心包炎51例。入院前被延误诊断39例,占76％。为了提高诊断率,使患者能够及时治疗,本文重点分析这个问题。临床资料:本组51例,男26例,女25例。年龄最小4岁,最大53岁。14岁以下18例占36％,15～30岁22例占44％。发病至入院的时间最短一个月,最长6年,3～12个月占2/3。体温均在37.5℃以下,脉搏100次以上者26例,有奇脉者27例,脉压小于20者23例,收缩压低于90者10例,发绀的17例,有腹水者42例,颈静脉怒张47例,有2例伴有胸壁静脉曲张,10例伴有腹壁静脉曲张。除1例无记载外全部肝大,最小肋下1.5厘米,最大15厘米,但脾脏大者只有7例。静脉压最低170毫米水柱,最高400毫米水柱。化验:
51 cases of constrictive pericarditis admitted to our hospital. 39 cases were delayed diagnosis before admission, accounting for 76%. In order to improve the diagnostic rate, so that patients can be treated promptly, this article focuses on analyzing this issue. Clinical data: The group of 51 patients, 26 males and 25 females. Youngest 4 years old, maximum 53 years old. 18 cases under the age of 14 accounted for 36%, 15 to 30 years old 22 cases accounted for 44%. The incidence of admission to the shortest one month, up to 6 years, 3 to 12 months accounted for 2/3. Body temperature were below 37.5 ℃, pulse of more than 100 in 26 cases, 27 cases of odd pulse, pulse pressure less than 20 in 23 cases, systolic blood pressure less than 90 in 10 cases, cyanotic in 17 cases, ascites in 42 cases, neck 47 cases of venous malformation, 2 cases with chest wall varicose vein, 10 cases with abdominal varicose veins. In addition to 1 case without records of all liver, rib 1.5 cm minimum, maximum 15 cm, but only 7 cases of spleen. Venous pressure minimum 170 mm water column, the highest 400 mm water column. assay: