Cardiology Department, Maria Vittoria Hospital, Torino, Italy.
Nat Rev Cardiol. 2009 Dec;6(12):743-51. doi: 10.1038/nrcardio.2009.185. Epub 2009 Oct 27.
The management of pericardial diseases is largely empirical because of the relative lack of randomized trials that involve patients with these conditions. A first attempt to bring together and organize current knowledge resulted in the publication of the first guidelines on the management of pericardial diseases. Nevertheless, a number of observational studies and the first randomized trials are moving the management of pericardial diseases towards evidence-based medicine, particularly for pericarditis. Emerging data indicate that management can be tailored to the individual patient and, although the optimal duration of treatment is not clearly established, some recommendations can be formulated to guide management and follow-up.
心包疾病的治疗主要是经验性的，因为涉及这些疾病患者的随机试验相对较少。首次尝试将现有知识汇集和组织起来，促成了第一版心包疾病管理指南的出版。然而，一些观察性研究和首批随机试验正在推动心包疾病的治疗向循证医学发展，特别是在心包炎方面。新出现的数据表明，可以根据个体患者的情况进行治疗，尽管尚未明确确定最佳治疗持续时间，但可以制定一些建议来指导治疗和随访。
