Einarsson Jón Thorkell, Danielsen Ragnar, Indridaon Olafur Skúli, Gudbjartsson Tómas
Nýrnadeld.
Laeknabladid. 2010 Jul-Aug;96(7-8):475-80. doi: 10.17992/lbl.2010.0708.308.
Constricitve pericarditis is an uncommon condition, often of unknown etiology but can be caused by infections, such as tuberculosis, inflammation of the pericardium, radiation therapy or asbestos exposure. Constrictive pericarditis is characterized by fibrosis and often severe calcifications of the pericardial sac which eventually restricts normal diastolic filling of the heart. This consequently leads to a combination of left and right heart failure, often with prominent jugular venous distentsion, liver enlargement, peripheral edema and lethargy. Diagnosis can be difficult and is often delayed. Surgery, involving partial removal of the pericardial sac, usually leads to relief of symptoms. Here we report a case from Landspitali together with a review of the literature.
缩窄性心包炎是一种罕见疾病，病因通常不明，但可由感染（如结核病）、心包炎症、放射治疗或接触石棉引起。缩窄性心包炎的特征是心包囊纤维化且常伴有严重钙化，最终会限制心脏的正常舒张期充盈。这进而导致左、右心衰竭，常伴有明显的颈静脉扩张、肝脏肿大、外周水肿和乏力。诊断可能困难且常被延误。手术，即部分切除心包囊，通常可缓解症状。在此，我们报告来自兰斯皮塔利医院的一例病例并对文献进行综述。
