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Perikardiosentesis pada Efusi Perikardium Masif (Pericardiocentesis for Massive Pericardial Effusion)
ABSTRACT:
Pericarditis is an inflammation of parietal pericard, visceral pericard or both, caused by infection, systemic autoim mune disease, post-myocardial infarction syndrome, metabolic abnormalities, pregnancy, traumatic, neoplastic, iatrogenic, or drugs.1,2The prevalence is 2 to 3.5% of all large pericardial effusion. The incidence of cardiac tamponade in the United States is 2 per 10,000 population. Clinical symptoms depend on the amount and rate of fluid accumulation in the pericardial cavity, rapid accumulation of fluid can result in tamponade with peripheral cyanosis, shock, mental status changes. Diagnosis is established based on clinical symptoms, physical examination, laboratory, ECG, radiology and echo¬cardiography. Treatment is directed to the underlying disease (eg antibiotics, steroids). Drainage (pericardiocentesis) is needed immediately if tamponade occurs. The reported case is 36 year-old male diagnosed as chronic massive pericardial effusion ec tuberculosis based on clinical symptoms, physical examination and other investigation. Treatment consist of pericardiocentesis, anti-tuberculosis drug and methylprednisolone.
Key words: massive chronic pericardial effusion tuberculosis, pericardiocentesis
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