Gooi H C, Smith J M
Thorax. 1978 Feb;33(1):94-6. doi: 10.1136/thx.33.1.94.
Forty-one patients with acute tuberculous pericarditis were studied retrospectively. Anti-tuberculosis chemotherapy alone was effective in thirty. Five patients died, two from unrelated causes, two due to delayed diagnosis, and one after pericardiectomy. Constrictive pericarditis developed in seven patients, six of whom had successful pericardiectomy. Corticosteroids could not be shown to have reduced the risk of developing constriction. When constriction occurred it did so within the first six months of illness in all cases in contrast to a separate series of 15 patients who presented with constrictive pericarditis. These had had no previous history of tuberculosis, and in 10 cases where pericardiectomy was done, no histological evidence of tuberculosis was found. They were European with an average age of 49 years whereas in the group with acute tuberculous pericarditis 33 were Asian and the average age was 36 years.
对41例急性结核性心包炎患者进行了回顾性研究。仅抗结核化疗对30例有效。5例死亡，2例死于无关原因，2例因诊断延误死亡，1例在心包切除术后死亡。7例发生缩窄性心包炎，其中6例心包切除术成功。未显示皮质类固醇能降低发生缩窄的风险。与另一组15例缩窄性心包炎患者相比，急性结核性心包炎患者一旦发生缩窄，均在发病后的前6个月内。这些缩窄性心包炎患者既往无结核病史，10例行心包切除术的患者未发现结核的组织学证据。他们是欧洲人，平均年龄49岁，而急性结核性心包炎组33例为亚洲人，平均年龄36岁。
