Lamamie de Clairac Delgado P, Ulloa Santamaría E, García García S, Rubio Vidal M D, Delgado Domínguez M A, Goded Rimbau F, Cordovilla Zurdo G
Médico Adjunto del Servicio de Cardiología Pediátrica, UCIP, Hospital Infantil La Paz, Madrid.
An Esp Pediatr. 1991 Mar;34(3):211-4.
19 cases of medical pericarditis admitted to the PICU from 1978 to 1989 were reviewed, to asses the diagnostic and therapeutical approach. The overall incidence is low, 0.32% of the patients admitted to the PICU in that time period. We have found neither tuberculous nor purulent pericarditis, with a 42% of idiopatic forms. Echocardiography was the best method for syndromic diagnosis. The ethiological diagnosis of pericarditis was made, in most cases, by means of non invasive methods or in association with the underlying disease. The cualitative analysis of the pericardial fluid was not useful for the ethiological diagnosis, therefore, we suggest pericardiocentesis should be performed mainly as a therapeutical tool. There were no correlation between the amount of fluid obtained on the first pericardiocentesis and the later incidence of the pericardial effusion. Biopsy brought no ethiological specificity in the cases it was performed.
回顾了1978年至1989年期间收入儿科重症监护病房（PICU）的19例医源性心包炎病例，以评估其诊断和治疗方法。总体发病率较低，占该时间段收入PICU患者的0.32%。我们未发现结核性或脓性心包炎，特发性形式占42%。超声心动图是综合征诊断的最佳方法。心包炎的病因诊断大多通过非侵入性方法或结合基础疾病做出。心包液的定性分析对病因诊断无用，因此，我们建议心包穿刺术主要应作为一种治疗手段进行。首次心包穿刺抽出的液体量与后期心包积液的发生率之间无相关性。在心包穿刺活检的病例中未发现病因特异性。
