C 1 - Pericardita
-
Upload
milea-oana-mirela -
Category
Documents
-
view
320 -
download
5
description
Transcript of C 1 - Pericardita
Pericardita
PericarditaInflamatie: - uscata / cu lichid.
Hemopericard.
Etiologie:
1. Virala: enterovirus, adenovirursuri, virusi hepatici, HIV; evolutie favorabila, rar tamponada, recidive.2. Postinfarct precoce sau tardiva - 3 sapt.3. Neoplazica extinsie locala, mezoteliom, hemopatie.a. TBC.
5. Cauze rare: - purulenta, boli de colagen, radioterapie, mixedem,
- pancreatita.6. Idiopatica.
7. Miocardo-pericardita.
Diagnostic:
Clinic:
1. Forma acuta tipica = debut sub 3 luni.
a. Durere toracica. b. Sdr. infectios. c. Frecatura pericardica.
2. Forma cronica (3 luni) = descoperire eco / rg; uremie, hipotiroidie, hemopatii.
Exista transudat in IC, HTP, mixom.
Paraclinic:
Microvoltaj, subdenivelare PQ, tulb. de ritm.
Alte explorarri: sdr. inflamator, troponina/CPK, HIV, IDR, TSH, TBC- teste de colagenoza, markeri tumorali, enzimepancreatice.
Tratament:
Etiologic: simptomatic aspirin 3 g/7 zile, 2 g/7 zile, 1 g/7 zile;- colchicina; - oprirea anticoagulantelor in infarct.
Tamponada pericardica:
Etiologie: TBC, neoplazii, virusuri, hemopericard (disectie, traumatis
ruptura prtlui ventricular).Cilinic: - soc, lipseste staza pulmonara, IC (, puls paradoxal in ; - TA > 10 mmHg in inspir.
Dg. Diferential: - embolie pulmonara, IMA de VD;
- pneumotorax compresiv.