Acute Pericarditis

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?????
Acute Pericarditis
???????

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• ??
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???????Pericardial Anatomy and Physiology
?????????????10-15ml, ???????
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(No Transcript)
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???????Pericardial Anatomy and Physiology

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??Definition

• ????????????????????
• ?????????????,?????? ????
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??Etiology

• ???
• ???? ????????????????
• ????
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??Etiology

• ????
• ??????? ????????????? ??????????? ????????
• ????????? ??????????? ?????????
• ?? ?????????????
• ??? ????????,???????? ?,???????
• ???? ???????????

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??Pathology

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• ????????????,????,
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• ??????????????,???????????,????????????
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??????Pathophysiology

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???????, ??,????, ?????, ??????????
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??????Pathophysiology

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????Clinical Manifestations

• ?? Symptoms
• ????? Precordial region pain
• ?? ???????,???????
• ?? ???,????,????????
• ???,??,?????????,?????????,?????????

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????Clinical Manifestations

• ?? Symptoms
• ???????? ?????????????,?????,??,?????????,????????
  ????????
• ???? ???????????????????????,????,?????,??????????
  ?

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????Clinical Manifestations

• ?? Signs ????????
• ????? Pericardial friction rub ?????
• ????????????????????
• ??????
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????Clinical Manifestations

• ?? Signs
• ????? Pericardial effusion
• ????
• ??????
• ?? ????,??
• ????????????????????,?????????,??????????,????????
  ???(??Ewart?)

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????Clinical Manifestations

• ?? Signs
• ????? Pericardial effusion
• ??????? ??????,???????,????,??????????
• ??(Paradoxical pulse) ?????????????????????(??10mm
  Hg??),???????,???????????????

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???????
????,?????????,?????????,???????? ???????,????????
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????Clinical Manifestations

• ?? Signs
• ????? Pericardial effusion
• ?????(Cardiac tamponade)
• ??????????,?????????,?????????
• ??????,????????,??????,????????,????????,??,????,?
  ????,??????????

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??? Electrocardiography
????Specific examinations

• ????6080??,??????? ?????????????,???????? ??
  ????????
• ST??? The ST segment changes
• T??? T-wave changes
• QRS??? Low voltage of the ORS complexes
• ???? Electrical alternans

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ST???
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QRS???
T???
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????
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X??? Chest Radiography
????Specific examinations

• ???????150???
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(No Transcript)
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????? Echocardiograph
????Specific examinations

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???? Pericardiocentesis
????Specific examinations

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??????? Diagnosis and Differential Diagnosis

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??????? Diagnosis and Differential Diagnosis

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  ????????,??????? ???,????????????????? ????????
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  ??

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?? ????? ???? ???? ????
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??? ???? ???????? ???? ???????????? ?????? ???
??? ???????,??????,?????? ????,??? ?????????? ???????
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??Treatment

• ????,????????????
• ????
• ??? ??????,???????, ???,???
• ??? ???,???,???
• ??? ??? 75mg /kgd,?3???,??2?,????,???
• ??? ????????,????
• ???? ????,????,??????,??????????

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??Treatment

• ????????? Drainage of pericadial fluid
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??Treatment

• ???? Surgical drainage via complete or partial
  pericariectomy(?????????)
• ??????????????
• ????????
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