心包

TB can also lead to a granulomatous pericarditis that may calcify and produce a "constrictive" pericarditis.

结核病还可导致肉芽肿性心包炎，可发生钙化或形成限制性心包炎。

Among them, 20 patients were candidates of valve replacement and 18 PDA and pericarditis had their blood samples taken before operation,and 1,2,24 and 48 hours after closure of thorax for measurement of concentrations of CK、CK-MB and TnT,together with ECG recording. Results Of the 60 patients, concentrations of cTnT before operation were normal; 2 hours after aortic unclamping, the correlation coefficient between cTnT and aortic clamping was r = 0.873( P＜0.01), the regression analysis showed Y = 0. 019X-0. 026. Of the 20 patients, ECG showed the myocardium was ischemic; CK、CK-MB and cTnT all rose significantly, reaching the peak after closure of thorax. Of the 18 patients, the ECG and cTnT before operation and after closure of thorax were normal; except 2 patients with pericarditis.

结果 60例瓣膜手术患者术前cTnT均在正常值范围内，主动脉开放后2 h时，阻断时间和cTnT的相关系数为r=0.875(P＜0.01)，回归方程为Y=0.019X-0.026；其中20例瓣膜手术患者心脏经过阻断后，心电图有缺血性改变，周围血液中的CK、CK-MB和cTnT均有明显升高，分别在关胸后2 h达到高峰，数值分别为术前的12.6、9.2和257倍；18例行动脉导管结扎和心包剥脱术的患者术前和关胸后的心电图和血液中的cTnT均正常，CK和CK-MB除2例心包炎患者关胸后出现明显变化外，余均未见改变。

Cellulose effusion can be found from epicardium to pericardium, it is typical fibrinous pericarditis

从心外膜表面直到心包可见细小的纤维素性渗出物的沉积物，这是纤维素性心包炎的典型表现

The fibrin often results in the the finding on physical examination of a "friction rub" as the strands of fibrin on epicardium and pericardium rub against each other.

听诊时出现心包摩擦音，这是因为沉积在心外膜和心包的纤维素相互摩擦所致。

Results There were 28 of 30 patients (93.3%) who underwent pneumonectomy and pericardiotomy or pericardium injury with ST segments shifted up horizontally or hollowly.

结果 30例肺切除同时行心包部分切除或有心包外损伤的患者中，28例(93.3％)术后ST段较术前呈水平或上凹形抬高。

Results 38patients with secondary malignant cardiac and pericardium tumor including 25 patients with lung cancer,5 patients with mastocarcinoma,2 patients with esophageal carcinoma,2 patients with liver carcinoma,2 patients with pancreatic carcinoma,1 patients with bile d

继发性心脏及心包肿瘤，多数原发部位癌在先，至晚期广泛转移，少数以心脏及心包转移为首发症状，虽经手术治疗、化疗和放疗，但预后差。伴心脏压塞者，给予心包穿刺、引流，局部化疗，可减轻症状，但不改善预后。

Results 38patients with secondary malignant cardiac and pericardium tumor including 25 patients with lung cancer,5 patients with mastocarcinoma,2 patients with esophageal carcinoma,2 patients with liver carcinoma,2 patients with pancreatic carcinoma,1 patients with bile duct carc

继发性心脏及心包肿瘤，多数原发部位癌在先，至晚期广泛转移，少数以心脏及心包转移为首发症状，虽经手术治疗、化疗和放疗，但预后差。伴心脏压塞者，给予心包穿刺、引流，局部化疗，可减轻症状，但不改善预后。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例患者经紧急心包穿刺引流均成功治愈，无1例需外科急诊手术。

Http://www.44dx.com tuberculous pericarditis;pericardial effusion;pericardiocentesis;central venous catheterization

http：//www.44dx.com 结核性心包炎；心包积液；心包穿刺术；中心静脉留置导管

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例美白患者经紧急心包穿刺引流均成功治愈冬季，无1例需外科癌症急诊预防手术胃痛。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。