Causes of suprapericardial recess effusion

Hidden effusion on the pericardium indicates a problem with heart function, and the main cause of this problem is infection. Of course, there are also non-infectious causes, such as heart failure or myocarditis. At this time, you should go to the hospital for examination and internal medicine treatment in time, and then take appropriate methods for treatment. In your daily diet, you should pay attention to a light diet and avoid eating too salty food.

Causes of pericardial effusion

1. Non-infectious (30%)

Including tumors (especially lung cancer, breast cancer, lymphoma, mediastinal tumors, etc.), rheumatism (rheumatoid arthritis, systemic lupus erythematosus, scleroderma, etc.), heart damage or large blood vessel rupture, endocrine and metabolic diseases (such as hypothyroidism, uremia, gout, etc.), radiation damage, effusion after myocardial infarction, etc.

2. Infectivity (30%)

Including tuberculosis, viruses (Coxsackie, influenza and other viruses), bacteria (Staphylococcus aureus, Pneumococcus, Gram-negative bacilli, fungi, etc.), protozoa (amoeba), etc.; most pericardial effusions are stubborn and difficult to completely eradicate. Identifying the cause and treating the disease itself can relieve or cure the pericardial effusion.

Treatment of pericardial effusion

1. Medical treatment

There is a lack of consensus on treatment options, and most of them depend on the personal experience of the therapist. Drug treatment includes the use of hormones, anti-inflammatory drugs, anti-tuberculosis drugs and other causative treatments. When there are no symptoms, the patient can be observed without medication. Pericardiocentesis can relieve symptoms and extract pericardial fluid for analysis to aid diagnosis and treatment, but its own therapeutic effect is not certain and it is no longer the main treatment method.

Causes of pericardial effusion

2. Surgical treatment

The purpose of surgical treatment is to relieve existing or potential pericardial obstruction, clear pericardial effusion, reduce the possibility of recurrence of pericardial effusion, and prevent late pericardial stenosis. Subxiphoid pericardial drainage is simple and rapid to operate, with less damage, clear short-term effects, and fewer pulmonary complications. It is suitable for critically ill patients and elderly patients; however, the recurrence rate of pericardial effusion after surgery is high. To reduce the recurrence rate, the scope of pericardial resection can be increased.