Echeverria P, Smith E W, Ingram D, Sade R M, Gardner P
Pediatrics. 1975 Nov;56(5):808-18.
Recent experience in the diagnosis and management of Hemophilus influenzae b pericarditis is described in five children. Anterior pericardectomy appears to be the preferred method of surgical drainage because it was associated with a shorter hospitalization than pericardiocentesis or closed or open pericardotomy and removed the risk of recurrent cardiac tamponade and constrictive pericarditis. Countercurrent immunoelectrophoresis of sera and pericardial fluid was used to rapidly identify the etiology of pericarditis in four of four patients tested. The observation that three children appeared to develop pericarditis in the absence of a contiguous infectious focus suggests that bacteremic seeding of the pericardium may be important in the pathogenesis of this disease.
本文描述了5例儿童B型流感嗜血杆菌心包炎的诊断和治疗经验。前侧心包切除术似乎是手术引流的首选方法，因为与心包穿刺术、闭式或开放式心包切开术相比，它住院时间更短，且消除了复发性心脏压塞和缩窄性心包炎的风险。对4例接受检测患者中的4例，采用血清和心包液对流免疫电泳法快速确定心包炎的病因。有3例儿童在心包炎发生时似乎没有邻近的感染灶，这一观察结果提示，心包的菌血症播散在该病的发病机制中可能起重要作用。
