{"id":72484,"date":"2019-01-31T11:52:43","date_gmt":"2019-01-31T11:52:43","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/epanchement-pericardique\/"},"modified":"2025-01-13T03:13:08","modified_gmt":"2025-01-13T03:13:08","slug":"epanchement-pericardique","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/fr\/diseases\/epanchement-pericardique\/","title":{"rendered":"\u00c9panchement p\u00e9ricardique"},"content":{"rendered":"<h2 id=\"definition\">D\u00e9finition<\/h2>\n<p>L&#8217;\u00e9panchement p\u00e9ricardique est une accumulation anormale de liquide entre le c\u0153ur et le p\u00e9ricarde (le sac entourant le c\u0153ur). Si le p\u00e9ricarde devient malade ou endommag\u00e9, l&#8217;inflammation qui en r\u00e9sulte peut entra\u00eener un \u00e9panchement p\u00e9ricardique. Cette condition est g\u00e9n\u00e9ralement associ\u00e9e \u00e0 de nombreuses conditions m\u00e9dicales diff\u00e9rentes et peut r\u00e9sulter d&#8217;une accumulation de sang apr\u00e8s une intervention chirurgicale ou une blessure. Lorsque la quantit\u00e9 de liquide d\u00e9passe la capacit\u00e9 maximale du p\u00e9ricarde, l&#8217;\u00e9panchement p\u00e9ricardique exerce une pression sur le c\u0153ur, ce qui entra\u00eene une mauvaise fonction cardiaque. Sans traitement, l&#8217;\u00e9panchement p\u00e9ricardique peut entra\u00eener une insuffisance cardiaque ou m\u00eame la mort.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"symptomes\">Sympt\u00f4mes<\/h2>\n<p>Les signes et sympt\u00f4mes d&#8217;\u00e9panchement p\u00e9ricardique peuvent inclure :<\/p>\n<ul>\n<li>Fi\u00e8vre<\/li>\n<li>Fatigue<\/li>\n<li>Essoufflement ou difficult\u00e9 \u00e0 respirer (dyspn\u00e9e)<\/li>\n<li>Douleur thoracique<\/li>\n<li>Naus\u00e9es, vomissements<\/li>\n<li>Rythme cardiaque rapide<\/li>\n<li>Toux<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"causes\">Causes<\/h2>\n<p>L&#8217;inflammation du p\u00e9ricarde (p\u00e9ricardite) est une r\u00e9action \u00e0 une maladie, une blessure ou un trouble inflammatoire qui affecte le p\u00e9ricarde. Lorsque le p\u00e9ricarde s&#8217;enflamme, un exc\u00e8s de liquide est produit, entra\u00eenant un \u00e9panchement p\u00e9ricardique. L&#8217;\u00e9panchement p\u00e9ricardique peut \u00e9galement se produire lorsque l&#8217;\u00e9coulement des fluides p\u00e9ricardiques est bloqu\u00e9 ou lorsque le sang s&#8217;accumule dans le p\u00e9ricarde.<\/p>\n<p>Les causes sp\u00e9cifiques de l&#8217;\u00e9panchement du p\u00e9ricarde peuvent inclure :<\/p>\n<ul>\n<li>Infections virales, bact\u00e9riennes, fongiques ou parasitaires<\/li>\n<li>Cancer<\/li>\n<li>Blessure au p\u00e9ricarde ou au c\u0153ur caus\u00e9e par une intervention m\u00e9dicale<\/li>\n<li>Troubles auto-immuns (polyarthrite rhumato\u00efde ou lupus)<\/li>\n<li>Insuffisance r\u00e9nale<\/li>\n<li>Thyro\u00efde sous-active (hypothyro\u00efdie)<\/li>\n<li>Radioth\u00e9rapie pour le cancer<\/li>\n<li>Traitement de chimioth\u00e9rapie pour le cancer<\/li>\n<li>Traumatisme ou plaie perforante pr\u00e8s du c\u0153ur<\/li>\n<li>Certains m\u00e9dicaments sur ordonnance<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"complications\">Complications<\/h2>\n<p>Le p\u00e9ricarde ne peut contenir qu&#8217;une quantit\u00e9 limit\u00e9e de liquide en exc\u00e8s sans causer de probl\u00e8mes au c\u0153ur. Lorsque trop de liquide s&#8217;accumule, le p\u00e9ricarde se dilate vers l&#8217;int\u00e9rieur, vers le c\u0153ur et exerce une pression sur lui. En retour, les cavit\u00e9s de pompage du c\u0153ur ne se remplissent pas compl\u00e8tement et une ou plusieurs cavit\u00e9s peuvent s&#8217;effondrer partiellement. Si cela se produit, une condition appel\u00e9e tamponnade appara\u00eet, entra\u00eenant une mauvaise circulation sanguine et un apport insuffisant d&#8217;oxyg\u00e8ne au corps. Si elle n&#8217;est pas trait\u00e9e, la tamponnade peut mettre la vie en danger.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"traitement\">Traitement<\/h2>\n<p>Le traitement de l&#8217;\u00e9panchement p\u00e9ricardique d\u00e9pend g\u00e9n\u00e9ralement de la quantit\u00e9 de liquide accumul\u00e9e, de ce qui cause l&#8217;\u00e9panchement et du fait que l&#8217;\u00e9panchement p\u00e9ricardique a caus\u00e9 ou est susceptible de causer une diminution de la fonction cardiaque. Les options de traitement peuvent inclure :<\/p>\n<ul>\n<li>M\u00e9dicaments pour aider \u00e0 r\u00e9duire l&#8217;inflammation (Aspirine, anti-inflammatoires non st\u00e9ro\u00efdiens (AINS), comme l&#8217;indom\u00e9thacine (Indocine) ou l&#8217;ibuprof\u00e8ne (Advil, Motrin IB, autres), Colchicine (Colcrys))<\/li>\n<li>Injections de corticost\u00e9ro\u00efdes (prednisone)<\/li>\n<li>Les options de traitement suppl\u00e9mentaires pour aider \u00e0 drainer les liquides ou emp\u00eacher l&#8217;accumulation de liquide de s&#8217;accumuler \u00e0 nouveau peuvent notamment comprendre ce qui suit :<\/li>\n<li>P\u00e9ricardiocent\u00e8se : une proc\u00e9dure qui implique l&#8217;insertion d&#8217;un petit tube (cath\u00e9ter) \u00e0 travers la poitrine dans l&#8217;\u00e9panchement p\u00e9ricardique pour drainer le liquide du p\u00e9ricarde.<\/li>\n<li>Chirurgie \u00e0 c\u0153ur ouvert : proc\u00e9dure qui draine le p\u00e9ricarde et cr\u00e9e un passage qui lui permet de s&#8217;\u00e9couler au besoin dans la cavit\u00e9 abdominale o\u00f9 le liquide peut \u00eatre absorb\u00e9.<\/li>\n<li>Scl\u00e9rose intrap\u00e9ricardique : proc\u00e9dure qui consiste \u00e0 injecter une solution dans l&#8217;espace entre les deux couches du p\u00e9ricarde, ce qui permet essentiellement de sceller les couches ensemble.<\/li>\n<li>P\u00e9ricardiectomie : ablation chirurgicale de tout ou partie du p\u00e9ricarde.<\/li>\n<\/ul>\n<p>De nombreux \u00e9panchements p\u00e9ricardiques sont caus\u00e9s par des conditions m\u00e9dicales particuli\u00e8res (infection \u00e0 VIH, lupus ou tuberculose). Dans ces cas, le traitement de l&#8217;\u00e9tat m\u00e9dical d&#8217;origine aidera souvent \u00e0 traiter l&#8217;\u00e9panchement p\u00e9ricardique.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-72484","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u00c9panchement p\u00e9ricardique - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9panchement p\u00e9ricardique - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"D\u00e9finition L&#8217;\u00e9panchement p\u00e9ricardique est une accumulation anormale de liquide entre le c\u0153ur et le p\u00e9ricarde (le sac entourant le c\u0153ur). Si le p\u00e9ricarde devient malade ou endommag\u00e9, l&#8217;inflammation qui en r\u00e9sulte peut entra\u00eener un \u00e9panchement p\u00e9ricardique. 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