How to treat a large pericardial effusion, how to treat a pericardial effusion

Pericardial effusion refers to the accumulation of fluid in the pericardial cavity caused by infection (such as tuberculous, purulent) and non-infectious (such as rheumatic, uremia), which is an important sign of pericardial disease. Ventricular filling and output decrease, resulting in a range of hemodynamic changes. Pericardial effusion can usually be determined by physical examination and x-rays.

Pericardial fenestration is done.

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Question 1: How to have pericardial effusion** Pericardial effusion On the first day, the hospital was ready to puncture and pump, but it could not be done because the heart was swinging too much, and the hospital planned conservatively**. Stayed in the hospital for 5 days, the first day hung with urea and anti-inflammatory water, and the saline that hung every day was:

Shuxuetong injection, calcium dibutyryl cyclic adenosine phosphate, ceftazidime needle. After 5 days, CT pericardial effusion has not decreased, and breathing is still difficult, but it is no more.

Question 2: How to have pericardial effusion** Problem analysis: The cause of pericardial effusion should first be clarified, and targeted**, such as tuberculous, anti-tuberculosis**, and malignant**, for the primary disease**.

On this basis, diuresis and other ** can also be used to extract fluid from pericardial punctures. If pericardial calcifications are made, pericardial decortication is required.

Suggestions: low-salt and low-fat diet, strictly control the amount of salt less than 3 grams per day, control the amount of water in and out, and it is best to pay a balance; Moderate and reasonable exercise; The diet is dominated by easily digestible foods; Take a break; Pay attention to keep the bowel and bowel movements smooth; Pay attention to prevent the occurrence of infection, etc.; Be aware of electrolyte imbalances; Take your medication on time; Pay attention to medications***; Watch for venous thrombosis of the lower extremities.

Cardiology**.

Question 3: How should pericardial effusion be**! Hello, pericardial effusion can be caused by bacterial and viral infections, or due to tumors, rheumatism, etc. Conservative ** mainly use anti-inflammatory drugs, hormones **. If severe, surgical drainage is an option.

Question 4: What are the methods of pericardial effusion Can be Chinese medicine** It's good You can search for Lishuiling to see.

Question 5: What is the pericardial effusion and what are the dangers? How**? What is the amount of pericardial effusion? Color? Quality? If the effusion is large, it should be drawn as soon as possible, and the nature of the effusion should be investigated to further investigate the cause.

Question 6: How to have pericardial effusion** Pericardial effusion On the first day, the hospital was ready to puncture and pump, but it could not be done because the heart swing was too large, and the hospital planned conservatively**. Stayed in the hospital for 5 days, the first day hung with urea and anti-inflammatory water, and the saline that hung every day was:

Shuxuetong injection, calcium dibutyryl cyclic adenosine phosphate, ceftazidime needle. After 5 days, CT pericardial effusion has not decreased, and breathing is still difficult, but it is no more.

Question 7: How to have pericardial effusion** Problem analysis: The cause of pericardial effusion should first be clarified, and targeted for **, such as tuberculous, anti-tuberculosis**, if malignant, it should be aimed at the primary disease**.

On this basis, diuresis can be used, etc.**, and pericardiocentesis can also be used to extract the effusion. If pericardial calcifications are made, pericardial decortication is required.

Suggestions: low-salt and low-fat diet, strictly control the amount of salt less than 3 grams per day, control the amount of water in and out, and it is best to pay a balance; Moderate and reasonable exercise; The diet is dominated by easily digestible foods; Take a break; Pay attention to keep the bowel and bowel movements smooth; Pay attention to prevent the occurrence of infection, etc.; Be aware of electrolyte imbalances; Take your medication on time; Pay attention to medications***; Watch for venous thrombosis of the lower extremities.

Cardiology**.

Question 8: What is the method of pericardial effusion, which is resistant to nuclear oak and can be used in traditional Chinese medicine** It's very good You can search for Lishuiling and take a look.

Malignant pericardial effusion, commonly tuberculous pericarditis. Due to pericarditis caused by infection with Mycobacterium tuberculosis, there will be heart discomfort, palpitation, chest tightness, difficulty breathing, fever, and the need for anti-tuberculosis drugs**. There is a lot of pericardial effusion, which requires a puncture and laboratory examination, and then targeted**.

It can be taken from these aspects.

First of all, we need to determine what is the cause of the disease? It depends on whether you have liver cancer or lung cancer, if it is lung cancer, then you can choose chemotherapy or other immunization**, it is very important to judge the cause and prescribe the right medicine, so this cannot be ignored.

The second point is actually very important, if the amount of pericardial effusion is relatively large, it may cause a very serious impact, at this time you can perform pericardiocentesis, if necessary, or to carry out pericardial drainage, through these two steps can cause a certain link to the patient's symptoms, chest tightness and other uncomfortable symptoms will also be reduced a lot.

It should be noted that if the patient has a very urgent situation, such as not being able to breathe, he can receive oxygen at this time, provided that he must go to the hospital, because in this case, the patient's condition can be monitored, and the equipment of the hospital is also very professional, and you must not come by yourself.

For this type of patient, it is also necessary to pay attention to diet.

Eating a balanced diet is very important, and many people have many diseases because of intemperance.

Nutrition is also a very important issue, and it is necessary to pay attention to the nutritional balance when eating, and replenish protein in time, so that the patient can recover faster. <>

In fact, we should pay attention to dietary hygiene in our daily life, if we are accidentally infected with tuberculosis bacillus, then it will cause such a phenomenon, don't wait until you are sick to regret it! Although the food should not be disappointed, we still have to control ourselves, because the food is not necessarily clean and hygienic, and it is enough to eat a home-cooked meal.

At this time, you should go to the hospital in time**, you can listen to the doctor's opinion, and then you can also use drugs** or systemic chemotherapy**.

In this case, it is usually necessary to remove some of the fluid from the body through surgery, and then go through other methods**.

Malignant pericardial effusion should be examined in the hospital and then pericardiocentesis.

Pericardial effusion is a relatively common clinical manifestation, especially after echocardiography** has become a routine test for cardiovascular disease, and the detection rate of pericardial effusion in patients has increased significantly, which can be as high. Most pericardial effusions are small and clinically unsigning. In a small number of patients, pericardial effusion is a prominent clinical manifestation due to large effusions.

When pericardial effusion persists for more than a few months, it constitutes a chronic pericardial effusion. There are several causes of chronic pericardial effusion, most of which are related to conditions that can affect the pericardium. Most pericardial effusions are small and clinically unsigning.

The common cases of pericardial effusion** are divided into two categories: infectious and non-infectious.

Infectious patients include tuberculosis, viruses (coxsackie, influenza and other viruses), bacteria (Staphylococcus aureus, pneumococcus, gram-negative bacilli, molds, etc.), protozoa (amoeba), etc.;

Non-infected patients include tumors (especially lung cancer, breast cancer, lymphoma, mediastinal tumors, etc.), rheumatism (rheumatoid arthritis, systemic lupus erythematosus, scleroderma, etc.), heart injury or rupture of large blood vessels, endocrine and metabolic diseases (such as hypothyroidism, uremia, gout, etc.), radiation injury, post-myocardial infarction effusion, etc.

Most pericardial effusions are stubborn and refractory to treatment and difficult to complete**. Clearly**, the disease itself can be treated with pericardial effusion or **.

Fluid may be aspirated for routine and biochemical tests. Plus, even if.

Three or four times when tuberculosis bacteria or tumor cells are not found cannot be completely ruled out.

Please send us the relevant information, or make an appointment in advance to come to me at the outpatient clinic.

Dr. Meng Zili solemnly reminded Wang Jianzheng: Because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are only for reference, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

Meng Zili, Hebei Provincial Chest Hospital.

Of course, if it is serious, there will be a lot of fluid accumulation on the heart. As for **, it is necessary to determine the cause of inflammation causing the effusion, anti-inflammatory is a must, and to ensure that the pericardium and the heart do not adhere after the effusion is absorbed.

Drinking alcohol and smoking, bad lifestyle habits may affect health, prone to hyperlipidemia, high blood pressure, diabetes or other diseases, and will reduce immunity, which is very harmful to the body. In this case, it may be directly related to drinking more, so now you need to quit smoking and drinking, pericardial effusion may be related to chronic inflammation, and you should go to a regular hospital to check it out and then treat the symptoms**.

If the amount of fluid is large, if it is a small amount of fluid, the heart will slowly absorb it. Taking some diuretic drugs will have a supporting effect, but be aware that diuretics should not be taken every day, just two to three times a week, otherwise your electrolyte will be imbalanced.

If the amount is large, then you will have to puncture and aspirate.

Cardiac tamponade with pericardial effusion requires pericardiocentesis, bed rest for large pericardial effusions, and a low-salt, high-protein diet.

On the first day, the hospital prepared to puncture and pump, but it could not be done due to excessive heart swing, and the hospital planned conservatively**. I stayed in the hospital for 5 days, and on the first day, I hung up diurea and anti-inflammatory water, and the saline I hung every day was: Shuxuetong injection, calcium dibutyryl cyclic adenosine phosphate, and ceftazidime needle.

After 5 days, CT pericardial effusion has not decreased, and breathing is still difficult, but it is no more.

Hello; According to the symptoms you said, this is likely to be due to the uncomfortable symptoms of palpitation, and if you want to test the blood sugar of the elderly, hypoglycemia will cause this symptom.

Pericardial effusion should first be identified**. Symptomatic**. It can be used with Chinese medicine or Western medicine.