临床误诊误治2012，Vol.25Issue(3)：1-3,3.DOI:10.3969/j.issn.1002-3429.2012.03.001-03
心源性胸腔积液32例诊治分析
Diagnosis and Treatment of 32 Patients with Cardiogenic Pleural Effusion
许卫君 1陈树 1缪婷婷1
作者信息
- 1. 210002南京,南京军区南京总医院干部保健科
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics and misdiagnosis cause of cardiogenic pleura] effusion, in order to improve diagnosis rate. Methods Clinical data of 32 patients with cardiogenic pleura! Effusion hospitalized during Mar. 2001 and Mar. 2010 were collected and retrospectively analyzed. Results The 32 patients with cardiogenic pleural effusion took up 23.7% (32/135)of the pleural effusion patients admitted to our hospital during the same period, in which 19 patients were with bilateral pleural effusion, with 11 patients in the right, and 2 patients in the left. 6 patients were once misdiagnosed as having tuberculous pleural effusion and malignant pleural effusion respectively, and misdiagnosis rate were 18.8%. According to medical history, signs and examination results of the group, 9 patients were confirmed as having hypertensive cardiopathy, 8 patients having extension heart disease, 6 patients having coronary heart disease, 5 patients having cor pulmonale and 4 patients having rheumatic heart disease. Conclusion Cardiac dysfunction may lead to pleural effusion, which may cover up observation of pathological changes of the lungs and heart modality. For those pleural effusion with no infected toxic symptom or anti-TB treatment, the possibility of cardiogenic pleural effusion should be taken into consideration.关键词
心脏病/并发症/胸腔积液/误诊/结核/肿瘤Key words
Heart disease/Complication/Pleural effusion/Misdiagnosis/Tubercle/Tumor分类
医药卫生引用本文复制引用
许卫君,陈树,缪婷婷..心源性胸腔积液32例诊治分析[J].临床误诊误治,2012,25(3):1-3,3.
