Gilman J K, Luft F C, Weyman A E
Proc Clin Dial Transplant Forum. 1978;8:121-2.
Uremic pericarditis occurred in 39 uremic patients who were treated in our program during a 4 yr period. The diagnosis was considered, but could not be established, in an additional 55 patients. A presumptive etiology remediable to a specific plan of treatment was identified in 9 patients who developed pericarditis following the initiation of dialysis. Uremic pericarditis occurring in patients who had yet been dialyzed, regularly responded to aggressive dialysis treatment. Echocardiography was the single, most important test to evaluate patients with suspected pericarditis. Limited pericardiectomy was safe and effective treatment in those patients not responding to conservative management.
在4年期间，我们治疗的39例尿毒症患者发生了尿毒症性心包炎。另有55例患者虽考虑有该诊断，但未能确诊。9例在开始透析后发生心包炎的患者中，确定了一种可通过特定治疗方案纠正的推测病因。尚未进行透析的患者发生的尿毒症性心包炎，通常对积极的透析治疗有反应。超声心动图是评估疑似心包炎患者的唯一最重要检查。对于那些对保守治疗无反应的患者，有限的心包切除术是一种安全有效的治疗方法。
