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Abstract Objective: To evaluate the ultrasound diagnostic value of pericardial effusion and its clinical significance. Methods: 156 patients with clinical diagnosis of pericardial effusion Ultrasound guided pericardiocentesis fluid analysis, combined with clinical symptoms and signs confirmed the diagnosis. Results: 156 cases in pericardial effusion diagnosis, mucinous in 31 cases, 29 cases of tuberculosis, 26 cases of idiopathic, tumor in 20 cases, 20 cases of type of heart failure, rheumatic in 10 cases, 8 cases of uremic other 12 cases. Quantitative diagnosis, trace 16 cases, 42 cases of a small amount of weight in 47 cases, 43 cases of a large number of very large number of 8 cases. Conclusion: Ultrasound is the preferred clinical diagnosis of pericardial effusion as a noninvasive method, the sensitivity and specificity than traditional X lines, and pericardial effusion on the qualitative and quantitative diagnosis of great value. Detection Target: May 2002 ~ May 2007 in my hospital inpatient patients with pericardial effusion in 156 patients, 94 patients were male, female 62 cases, aged 15 to 80 years, mean age 53 years. All cases were diagnosed by clinical laboratory tests, 51 patients with large pericardial effusion, pericardial fluid collected by the puncture, the pumping of liquid were confirmed by clinical examination to determine the nature.
Examination methods and diagnostic criteria: use of NAS-2000 color Doppler ultrasonic diagnostic apparatus, the pro


be frequency of 3.75MHz, check the left lateral position before the general admission of patients (or semi-recumbent position.) Probe in the left sternal intercostal 2 to 5, followed by the discovery that some patients were under probe by the diagonal above the xiphoid, as every side of the heart without pericardial effusion.
Location: Xunyiwe hypertrophic cardiomyopathy and pericardial effusion and pericardial effusion in hypertrophic cardiomyopathy
Article Posted by: Xunyiwenyao net collections this ultrasound: 1. Left atrial enlargement, left little. Right ventricle to expand.
2. Ascending aorta is not wide, the aortic valve echo was normal. Artery were normal.
3. II. Tricuspid valve echo normal side shows a slight contraction double room regurgitation signal.
4. Interventricular septum. Left ventricular wall thickening, and no segmental wall motion abnormalities.
5. Room. Septal echo consecutive complete.
6. Pericardial effusion can be seen, the main front in the beginning of the ascending aorta, 1.3 cm thick.Ultrasonic Tip: Left atrial enlargement. Expansion of the right heart
A small amount of pericardial effusion0.04sQRS: aVR was QR-type
V1 was rsr "-type V5-V6 was qRs or qRS typeST: V5-V6 on the slanting down about 0.05-0.10mV
T: V2-V6 are inverted or negative way1. Sinus rhythm
2. Hypertrophy double room double room Patients Sex: MaleRelated issues related to information-related diseases more this article also the users? What a small penis may be complicated by disease. Pregnant after the change facial features indicates. Postmenopausal what you need to prevent. Ejaculatory function by what diseases affect. "Shuangxiu syndrome" is psychological. Shen: Fall is a respiratory disease of children. What are the common elderly mental illness. elderly have diseases and negative emotions.
Pericardial effusion and the diseases easily confused
Time: June 4, 2010 Font Size: [] online consultation online registration Abstract: pericardial effusion with specific diseases such as tuberculosis to be pericarditis, pericarditis, rheumatic diseases such as identification.
Pericardial effusion with specific diseases such as tuberculosis to be pericarditis, pericarditis, rheumatic diseases such as identification.
1, tuberculous pericarditis common symptoms are fever, chest pain, cough and breathing difficulties. Cardiac tamponade or constrictive pericarditis may occur outside the Zhou Jing increased pulse pressure of blood circulation problems, such as lower extremity edema, ascites, and so on. Increasing signs of heart dullness, distant heart sounds, pericardial friction rub, tachycardia, and so on. Some patients are not typical clinical manifestations, onset occult, no TB symptoms. The diagnosis based on clinical manifestations, pericardial effusion examination and history of tuberculosis. Pericardial effusion examination and culture-positive TB detection rate is not high, OT test is only 60% of the patients were moderately positive or strongly positive. Pericardial effusion to be 4 to 6 weeks training, pericardial biopsy is more difficult to implement. The recently launched PCR examination can improve diagnostic yield. Echocardiography is non-specific, but can determine the amount of pericardial effusion, pericardial thickening sticky side or, as the cause and provide valuable reference for diagnosis, but to assess efficacy. X-ray shows both sides of the heart to expand, ECG QRS wave group may have low voltage and T wave inversion. Some patients need to be treated according to the results of diagnostic treatment. In recent years, magnetic resonance imaging technology can provide the degree of understanding of the basis of pericardial effusion.
2, rheumatic pericarditis, rheumatic heart inflammation is part of, more common in young people, rheumatism, the pericardium is almost always involved, but clinically, only 15% of the rheumatic pericarditis (rheumatericarditis) cases were confirmed. Lesions mainly involving the visceral pericardium, was serous or serous fibrinous inflammation, epicardial fibrinoid degeneration of connective tissue can occur. Serous pericardial effusion can be a large number (pericardial effusion). Percussion heart border to the left and right to expand, distant heart sounds when auscultation, X-ray examination, the heart was pear-shaped. When a large number of fibrin, the epicardial surface of the heart stop beating of cellulose made by villous, called villi heart (corvillosum). Recovery, the slurry is gradually absorbed most of the dissolved cellulose is also absorbed a small number of machines of place, resulting in pericardial dirty, the wall two partial adhesion, a very small number of cases with more fully formed constrictive pericarditis ( consrictivepericarditis).Key words: pericardial effusion


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