Where does pericarditis operation do best?

summary

Pericarditis is the most common pericardial disease, and many people have known about its basic treatment. It can be caused by a variety of pathogenic factors, often a part of systemic diseases, or spread from adjacent tissue lesions. Pericarditis may coexist with inflammation of other cardiac structures, such as myocardium or endocardium, or exist alone. Pericarditis can be divided into acute pericarditis, chronic pericarditis, adhesive pericarditis, subacute exudative constrictive pericarditis and chronic constrictive pericarditis. Clinically, acute pericarditis and chronic constrictive pericarditis are the most common. In order to avoid such a situation, let's talk about pericarditis surgery where to do the best?.

Where does pericarditis operation do best?

First: acute pericarditis X-ray pericarditis X-ray pericarditis atlas acute pericarditis can be serous, cellulosic, hemorrhagic or purulent. The surface layer of the subepicardial myocardium may be involved. The amount and nature of the cellular response depends on the etiology. In acute phase, fibrin, leukocytes and a few endothelial cells exudate from pericardial parietal layer and visceral layer, and there is no obvious fluid accumulation at this time; Later fluid increased, known as exudative pericarditis, often serous fibrin, fluid volume ranging from 100ml to 2 ~ 3L. The effusion is usually absorbed in several weeks to several months, and may also be accompanied by adhesion and narrowing of visceral layer and parietal layer. Fluid can also accumulate in a short period of time, the pericardium can not be extended to adapt to the change of its volume, so that the pressure in the pericardium rises sharply, causing the heart to be compressed, resulting in the damage of ventricular diastolic filling, the increase of peripheral venous pressure, and finally the decrease of cardiac output, which constitutes the manifestation of acute cardiac tamponade.

Second: chronic pericarditis chronic pericarditis can be serous, chylous or bloody (exudative) or fibrous, adhesion or calcification. It can be constrictive or does not produce clinical symptoms. Pericardial fibrosis may occur with infection, injury or hemopericardium, or with connective tissue diseases, including rheumatic fever, but sometimes of unknown origin. Fibrosis may be punctate or extensive with calcification. Pericardial fibrosis may have no hemodynamic effect. It can also gradually produce chronic constrictive pericarditis, increase systemic venous pressure and hepatic venous pressure, and lead to cardiogenic cirrhosis.

Third: acute nonspecific pericarditis is a kind of serous fibrinous pericarditis with unknown etiology, which may be related to virus infection and autoimmune reaction. There was a history of upper respiratory tract infection several weeks before the onset. Clinical features: severe chest pain, fever, about 70% of patients can hear pericardial friction sound, pericardial effusion is generally small or medium, rarely produce severe pericardial tamponade symptoms. The examination often had ESR, WBC, ECG ST segment elevation and X-ray cardiogram enlargement. If the heart muscle is involved, it can form acute myocardial pericarditis.

matters needing attention

Patients with dyspnea should be placed in semi supine position and inhaled oxygen. Patients with obvious chest pain can be given analgesics. Codeine or dolantine can be used when necessary. Strengthen supportive therapy.