Constrictive Pericarditis of Abdominal Distention for 12 Years：One Case Report and Literature Review

doi:10.3969/j.issn.1007-9572.2016.26.022

Abstract

Abstract: Constrictive pericarditis（CP）refers to pericardium viscerale and parietal layer adhesion,thickening or calcification caused by various reasons.CP causes cardiac contraction/diastole restriction and a series of circulatory dysfunctions，such as blocked blood reflux and reduced cardiac output.The typical clinical features of CP are palpitation，anhelation，weak etc.CP patients of abdominal distension as the main clinical manifestations have been rarely seen.The diagnosis and treatment of a CP case with abdominal distension as the sole symptom for 12 years are analyzed in this study retrospectively.After reviewing documents and materials，the causes，pathogenesis，clinical manifestations，diagnosis，and treatment of CP are demonstrated.The characteristics of this disease are analyzed to improve the understanding of clinical doctors regarding CP and to avoid misdiagnosis and mistreatment.

Key words: Pericarditis, constrictive, Flatulence, Literature review

摘要： 缩窄性心包炎（CP）是指各种原因引起心包脏层和壁层粘连、增厚或钙化，致使心脏收缩和/或舒张受限，从而引起血液回流受阻，心排血量减少等一系列循环功能障碍的病征。典型CP表现为心悸、气促、乏力等，但以多年腹胀为主要表现的病例较为罕见。本文回顾性分析了1例以腹胀12年为唯一表现的CP患者的诊疗过程，并复习文献，阐述CP的病因、发病机制、临床表现、诊断及治疗，并分析本病例特点，旨在提高临床医生对CP的认识，避免误诊误治。

关键词: 心包炎, 缩窄性, 肠胃胀气, 文献复习

ZHANG Yu-pei, LIU Xian-xian, ZHANG Li-guo, DING Guo-feng. Constrictive Pericarditis of Abdominal Distention for 12 Years：One Case Report and Literature Review[J]. Chinese General Practice, 2016, 19(26): 3234-3237.

张玉佩, 刘贤贤, 张立国, 丁国锋. 腹胀12年的缩窄性心包炎一例报道并文献复习[J]. 中国全科医学, 2016, 19(26): 3234-3237.

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