心包积液和心脏填塞之间的差异

Key Difference – Pericardial Effusion vs Cardiac Tamponade

浆液心包囊内的液体的收集称为心包积液。当心包腔中只有少量的液体时，它不会阻碍心脏的功能能力。但是，如果未去除心包积液的根本原因，则液体在心包囊内继续积聚。因此，相邻的心脏室被压缩，心脏的抽水作用受损。这个严重的阶段称为心脏填塞。尽管心包积液中心脏的泵送能力没有变化，但在心脏填塞中，泵送能力大大降低。This is the key difference between pericardial effusion and cardiac tamponade.

CONTENTS

1。概述和关键差异
2。什么是心包积液
3。什么是心脏润肤道
4。心包积液和心脏填塞之间的相似之处
5。并排比较 - 心包积液与表格形式的心脏润肤
6.Summary

什么是心包积液?

浆液心包囊内的液体的收集称为心包积液。这种情况通常与急性的前一集有关pericarditis。

Clinical Features

• Soft and distant heart sounds
• Nature of the apex beat is altered
• 在初始阶段，可能会有摩擦摩擦，随着时间的流逝逐渐减少
• Sometimes the fluid accumulation can compress the base of the离开肺。这能增加一个沉闷的声音在打击乐器over the region below the left scapulae.

调查

• ECG– low voltage QRS complexes with sinus tachycardia can be observed
• Large globular or pear-shaped heart is seen in the chest x-ray
• 超声心动图是心包积液诊断最可靠的研究
• Cardiac CT, pericardial biopsy, and pericardiocentesis are the other investigations that are usually performed.

Treatment

The underlying cause has to be removed. Usually, pericardial effusions resolve spontaneously.

什么是心脏润棉？

When a large amount of fluid has accumulated in the serous pericardial sac causing a pericardial effusion, it can compress the adjacentventricles，，，，interrupting ventricular filling and impairing the pumping action of the heart. This phenomenon is known as cardiac tamponade.

Clinical Features

• Jugular venous pressure is unusually elevated
• 心输出量令人震惊
• There is a reduction of the systolic blood pressure by about 10mmHg

心包积液诊断中使用的相同研究也可以用于诊断心脏润肤膜。

Treatment

• Pericardiocentesis is required to drain the fluid that has accumulated and relieve the resistive pressure exerted on the ventricles
• 当有更多的心包积液可能使心脏填塞阶段恶化时，心包燃烧术的表明。这一过程促进了通过在心包腔中形成开口，促进了心包囊中积累的液体自由流入相邻组织。

心包积液和心脏卫生条之间有什么相似之处？

• 液体在心包囊中的积累是两种情况的病理基础
• 包括ECG，胸部X射线和超声心动图在内的同一组研究可用于鉴定心包积液和心脏填塞。

心包积液和心脏填塞之间有什么区别？

心包积液与心脏卫生室
心包积液是浆液心包囊内（心脏周围的囊）内的液体的集合。	心脏填塞是心包中的液体积聚，导致心包积液，并导致心脏压缩，从而损害心脏的泵送动作。
抽水
抽水action of the ventricles is not impaired.	抽水action of the ventricles is impaired.
目标听众
心包积液的临床特征是 Soft and distant heart sounds Nature of the apex beat is altered A friction rub which gradually diminishes with time (during the initial stages) A dull sound on percussion over the region below the left scapulae (due to the compression of the base of the left lung)	Following are the clinical manifestations of cardiac tamponade, Jugular venous pressure is unusually elevated 心输出量令人震惊 There is a reduction of the systolic blood pressure by about 10mmHg
Treatment
The underlying cause has to be removed. Usually, pericardial effusions resolve spontaneously.	心脏穿刺术和心包征外膜是常见的治疗方法。

摘要 - 心包积液和心脏填塞

浆液心包囊内的液体的收集称为心包积液。When a large volume of fluid capable of compressing the adjacent cardiac chambers has accumulated in the pericardial sac, it is called cardiac tamponade. In pericardial effusion, the pumping capacity of the heart is not affected, but in cardiac tamponade, there is a reduction in the pumping capacity of the heart. This can be considered as the major difference between pericardial effusion and cardiac tamponade.

下载心包积液的PDF版本与心脏卫生室

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References:

1。Kumar, Parveen J., and Michael L. Clark. Kumar & Clark clinical medicine. Edinburgh: W.B. Saunders, 2009.

图片提供：

1. Kalumet的“心包积液” - 自己的工作（CC BY-SA 3.0）通过下议院维基梅迪亚
2。“Blausen 0163 CardiacTamponade 01” By BruceBlaus – Own work（CC由3.0）通过下议院维基梅迪亚