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Updated: Aug 12, 2026
07:15
An Intact Pericardium Ischemic Rodent Model
Published on: September 2, 2021
結核性 perikarditis 結核性 perikarditis 結核性 perikarditis 結核性 perikarditis 結核性 perikarditis 結核性 perikarditis 結核性
1Department of Internal Medicine, University of Cincinnati (Ohio) College of Medicine 45267.
JAMA
|July 3, 1991
まとめ
結核は,特に非工業化国において,心膜炎の重要な部分を引き起こします. 診断には,細菌を特定し,多剤療法を含む治療を行い,重症の場合,手術を行う可能性があります.
科学分野:
- 心臓病学 心臓病学
- 感染症 感染症は感染症です.
- 肺内科 肺内科 肺内科
背景:
- 結核 (TB) は,特に非工業化地域では,心膜炎の顕著な原因です.
- 急性心周炎,心臓タンポネード,収縮性心周炎の症例の有意な割合を占めています.
研究 の 目的:
- 結核性心膜炎の診断基準の概要を述べる.
- この状態の現在の治療戦略を詳細に説明します.
- 手術介入の指示を特定するために.
主な方法:
- 診断は,心周液または組織におけるMycobacterium tuberculosisの検出に依存しています.
- 循環器の組織学的検査は,診断に役立ちます.
- 原因不明の perikarditis の患者の他の場所でTBを特定することは非常に重要です.
主要な成果:
- 標準的な治療は9ヶ月のトリプル薬 (イソニアジド,リファミンシン,ストレプトミシン/エタムボトル) による治療である.
- ピラジナミドと培養物の変換により,6ヶ月の治療期間を短縮することが可能である.
- コルチコステロイドは,持続的または再発的な出血に利益をもたらす可能性があります.
結論:
- 結核性 perikarditisは,迅速な診断と長期の抗菌薬療法を要求する.
- 再発性タンポネードまたは持続的な静脈圧上昇のために,外科的心膜切除手術が必要である.
- 患者のかなりの割合は,最適な薬物治療にもかかわらず,依然として手術を必要とする可能性があります.
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Here is a detailed explanation of its pathophysiology:
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Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
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