Symptoms of pericardial effusion in late pregnancy

Update Date: 2023-02-18 Source: Network

summary

During the third trimester of pregnancy, the apical pulsation is weak or can not be touched. If it can be touched, it is in the inner side of the left boundary of cardiac murmur. The cardiac boundary expands to both sides. The boundary of cardiac murmur widens in the decubitus position, and the heart sound is low and far away. When there is a large amount of effusion, the murmurmur and bronchial breathing sound can appear in the left subscapular area, which is called Ewart sign. Tell us about the symptoms of pericardial effusion in the third trimester of pregnancy.

Symptoms of pericardial effusion in late pregnancy

1. X-ray examination: the heart shadow generally expanded to both sides (the effusion was more than 300 ml); When a large amount of effusion (more than 1000 ml), the heart shadow is flask like, the superior vena cava shadow is widened, the heart beat is weak under fluoroscopy, and the lung field is clear, which can be distinguished from heart failure

2. 3. Echocardiography: there are fluid dark areas between the anterior wall and behind the posterior wall of the heart by M-mode ultrasound, that is, the maximum diastolic dark area between the pericardium and epicardium (when 10 mm, the effusion is small; when 10 mm, the effusion is small); If it is between 10-19mm, it is equal to 39;; If more than 20 mm, it is a large quantity)

4. Pericardiocentesis: the existence of solid pericardial effusion can be confirmed, and the symptoms of pericardial tamponade can be relieved

matters needing attention

1. For etiological treatment, such as tuberculous pericarditis should be given anti tuberculosis treatment, bacterial pericarditis should be given antibiotics, etc. 2, patients with chest pain should be given symptomatic treatment. Fibrinous pericardium should not use anticoagulants, otherwise it will cause pericardial hemorrhage. 3, acute cardiac tamponade should be punctured in time. 4, suppurative pericarditis in addition to the use of antibiotics, also need pericardial drainage