492例心包积液临床特征和病因分析
Clinical characteristics and etiological analysis of 492 in-patients with pericardial effusion
陆炳团 1陈相山 1王乔坤 1吕天富 1穆宁晖 1尹晓明1
作者信息
- 1. 昆明理工大学附属医院暨云南省第一人民医院全科医学科,云南昆明 650032
- 折叠
摘要
目的 回顾性分析不同年龄段心包积液患者病因分布特点,为临床前期诊断提供参考.方法 收集 2021年 1 月至 2022 年 5 月住院且符合心包积液诊断标准的 492 例患者临床资料,按年龄分为青少年组(≤29 岁)、中年组(30～59 岁)、老年组(≥60 岁),对比分析不同年龄组病因构成情况.结果 前五位的病因依次为肺部感染(22.56%)、肺癌(11.79%)、肾脏疾病(7.32%)、系统性红斑狼疮(6.30%)、心力衰竭(4.27%).首要原因中,青少年组(≤29 岁)是自身免疫性疾病,中年组(30～59 岁)是肿瘤性疾病,老年组(≥60 岁)为感染性疾病.结论 引起心包积液的首要病因中,青少年为自身免疫性疾病,中年人为恶性肿瘤,而老年人为感染性疾病.
Abstract
Objective To retrospectively analyze the distribution characteristics of etiology in patients with pericardial ef-fusion of different age groups,so as to provide reference for preclinical diagnosis.Methods The clinical data of 492 hospi-talized patients who met diagnostic criteria for pericardial effusion from January 2021 to May 2022 were collected,and pa-tients were divided into adolescent group(≤29 years old),middle-aged group(30-59 years old),and senior group(≥60 years old)according to age.And the composition of etiology in different age groups was compared and analyzed.Results The top five etiologies were pulmonary infections(22.56%),lung cancer(11.79%),renal disease(7.32%),systemic lupus erythematosus(6.30%),and heart failure(4.27%).Among the primary causes,the adolescent group(≤29 years old)was autoimmune disease,the middle-aged group(30-59 years old)was tumor disease,and the senior group(≥60 years old)was infectious disease.Conclusion Among the primary causes of pericardial effusion,adolescents are autoim-mune diseases,middle-aged people are malignant tumors,and the elderly are infectious diseases.
关键词
心包积液/临床特征/病因分析Key words
pericardial effusion/clinical characteristics/etiological analysis引用本文复制引用
基金项目
昆明理工大学医学联合专项(KUST-KH2022035Y)
出版年
2024
国家科技期刊平台
NSTL
万方数据