多因素心包积液患者的临床特点分析
邓改芬;靳文英;朱天刚
【期刊名称】《中华老年心脑血管病杂志》 【年(卷),期】2017(019)002
【摘要】目的 探讨心包积液住院患者的临床特点.方法 选择合并心包积液的463例住院患者,男211例,女252例,分为青少年组92例(5~39岁)、中年龄组138例(40~59岁)和老年组233例(60~92岁).收集临床资料,并回顾性分析.结果 所有患者居前3位的病因为肿瘤(22.7%)、免疫系统疾病(15.8%)和不明原因(14.7%).女性免疫系统疾病、甲状腺功能减退比例高于男性,慢性肾病和结核比例低于男性(P<0.05,P<0.01).青年少组、中年组和老年组免疫系统疾病、不明原因和血液病比例有显著差异(33.7% vs 18.8% vs 6.9%、9.8% vs8.0% vs20.6%、18.5% vs 13.8% vs 3.0%,P<0.01).多病因构成主要为心力衰竭、感染、低蛋白血症和肾功能不全,感染为最常见(61.6%)的合并因素.结论 多数心包积液患者合并≥1种诱发或加重心包积液发生的病因.%Objective To study the clinical characteristics of hospitalized patients with pericardial effusion.Methods Four hundred and sixty-three pericardial effusion patients (211 males and 252 females) aged 5-92 (57.1±19.4) years admitted to Peking University People's Hospital were divided into 5-39 years old group (n=92),40-59 years old group (n=138),and 60-92 years old group (n=233).Their clinical data were analyzed.Results The top 3 etilogical factors of pericardial perfusion were tumor (22.7%),immune disease (15.8%) and unknown reasons (14.7%).The incidence of