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摘要


在嚴重慢性腎疾病病人中,最常見造成心包膜炎的非感染性病因為尿毒性心包膜炎(Uremic pericarditis)和透析相關的心包膜炎(Dialysis associated pericarditis)。這兩種疾病都是因為尿毒素的堆積所造成。不同的是,尿毒性心包膜炎是指發生在未開始透析或透析未滿八週的慢性腎疾病病人;透析相關的心包膜炎則是指發生在已經開始透析八週後的慢性腎疾病病人。本文會針對這兩種疾病的分類、發生率、病理、病因、臨床表現、診斷、治療以及併發症做闡述。

並列摘要


Uremic pericarditis (UP) and dialysis-associated pericarditis (DAP) together constitute the most common pericardial diseases in patients with advanced chronic kidney disease (CKD). UP and DAP are both caused by accumulation of uremic toxins. UP is defined as pericarditis developing before or within 8 weeks of initiation of dialysis, while DAP is defined as pericarditis developing in patients who have been on dialysis for more than 8 weeks. In this article we reviewed the classification, incidence, pathology, etiology, diagnosis, treatment, and complications of UP and DAP.

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