교약성 심낭염의 임상적 고찰

Abstract

We experienced fourteen patients with constrictive pericarditis, who were admitted to the Dong San Hospital, Keimyung University and treated by pericardiectomies during the seven year periods between Jan 1980 and May 1986.

The results of our experience were as follows:

They were 10 males and 4 females and male to female ratio was 2.5 ： 1 and age distribution was between 11 and 66 with mean age 46.4 years. The intervals between initial symtoms for acute pericarditis and the pericardiectomies were about 123. 3 days and intervals between initial treatment for acute pericarditis and operation were about 55.4 days. Pleural effusion was noted in 55. 7%，enlarged cardiac shadow in 50% and pericardial calcification in 7% on the chest roentgenograms. Regular sinus rhythem was noted in 100%, low voltage in 64%, T wave change in 71% and ST segment changes in 7% on the electrocardigram. The results of pericardial biopsy were tuberculosis in 57%，nonspecific chronic inflammation in 28%, purulent infection in 7% and neoplastic cell infiltration in 14%.