McGraw Matthew D, Galambos Csaba, Stillwell Paul C
Pediatric Pulmonology, University of Colorado School of Medicine, and Pediatric Pulmonology at the Breathing Institute, Children's Hospital Colorado, Aurora, Colorado.
Department of Pathology and Laboratory Medicine, Children's Hospital Colorado, Aurora, Colorado.
Pediatr Pulmonol. 2017 Sep;52(9):E52-E54. doi: 10.1002/ppul.23708. Epub 2017 Apr 25.
Despite similar mechanisms driving pleural fluid accumulation, the causes of pleural effusions in children differ significantly from that of adults. When a pleural effusion re-occurs in an adult, literature recommends early thoracentesis, and consideration for pleuroscopy with biopsy to guide the diagnostic evaluation. In children, there is a paucity of literature for guiding management of recurrent exudative pleural effusion. We present an unusual pediatric case of uremic pleuritis with recurrent pericardial and exudative pleural effusions.
尽管导致胸腔积液的机制相似，但儿童胸腔积液的病因与成人有显著差异。当成人再次出现胸腔积液时，文献建议早期进行胸腔穿刺，并考虑进行胸膜镜检查及活检以指导诊断评估。在儿童中，关于复发性渗出性胸腔积液管理的文献较少。我们报告了一例罕见的小儿尿毒症胸膜炎病例，伴有复发性心包积液和渗出性胸腔积液。
