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近年来,在各种病因所引起的心包炎中,急性非特异性心包炎占有相当的比例,既往,认为本病危害性甚小,现经较长期的临床观察,大部分病员病程经过良好,并有自愈倾向,但部分患者较易复发,少数并可演变为缩窄性心包炎,甚至偶见死亡者~8。本文报告5例,拟就其临床分型及有关诊治等问题作一简要的讨论。一、临床资料5例均系男性,最大41岁,最小16岁,以青壮年为多。病程最短7天,最长15年。入院时有2例误诊为风湿性心包炎,1例误诊为结核性心包炎,2例被确定为非特异性心包炎。(一)诊断标准~7:1.急性起病,疼痛剧烈,位于心前区、左臂、
In recent years, a variety of etiology caused by pericarditis, acute non-specific pericarditis occupy a considerable proportion, in the past, that the harm of this disease is very small, now more long-term clinical observation, most of the patient’s course of disease after a good, and There are self-healing tendency, but some patients are more likely to relapse, a few and can evolve into constrictive pericarditis, and even occasionally died ~ 8. This article reports 5 cases, it is proposed that its clinical classification and related diagnosis and treatment and other issues to make a brief discussion. First, the clinical data of 5 cases were male, maximum 41 years old, minimum 16 years old, mostly young adults. The shortest duration of 7 days, up to 15 years. Two patients were misdiagnosed as rheumatic pericarditis on admission, one was misdiagnosed as tuberculous pericarditis and two were identified as nonspecific pericarditis. (A) the diagnostic criteria ~ 7: 1. acute onset, severe pain, located in the precordial area, left arm,