Cabezuelo Huerta G, Jiménez-Busselo M T, Frontera-Izquierdo P
An Esp Pediatr. 1986 Mar;24(3):171-6.
Four children with acute purulent pericarditis were seen at the Children's Hospital "La Fe", Valencia, between 1980 and 1985. Their ages ranged between 7 months and 7 years. All patients had some other associated infection, such as pneumonia (1 case), pyodermitis (1 case) and sepsis (2 cases). Pathogens identified were Haemophilus influenzae, Staphylococcus aureus, Streptococcus pneumoniae and Neisseria meningitidis. M-mode echocardiography and 2-dimensional echocardiography has proven to be a reliable tool in diagnosis of pericardial effusions. A 2-dimensional echocardiogram is indicated when a loculated pericardial effusions is suspected (Staphylococcus aureus pericarditis). Pericardiocentesis alone resulted in recovery of three patients and failed in one (Staphylococcus aureus pericarditis). This one was treated with pericardiectomy and recovered without complications.
1980年至1985年间，在巴伦西亚的“拉费”儿童医院诊治了4例急性化脓性心包炎患儿。他们的年龄在7个月至7岁之间。所有患者均伴有其他感染，如肺炎（1例）、脓皮病（1例）和败血症（2例）。鉴定出的病原体有流感嗜血杆菌、金黄色葡萄球菌、肺炎链球菌和脑膜炎奈瑟菌。M型超声心动图和二维超声心动图已被证明是诊断心包积液的可靠工具。当怀疑有局限性心包积液（金黄色葡萄球菌性心包炎）时，需进行二维超声心动图检查。单纯心包穿刺使3例患者康复，1例（金黄色葡萄球菌性心包炎）失败。该例患者接受了心包切除术，康复且无并发症。
