Tierney R C
Paediatrician. 1978;7(1-3):52-64.
This article discusses the etiology, clinical presentation, diagnosis and treatment of pericardial disease in the pediatric age group. Purulent pericarditis is a medical and surgical emergency. Prompt surgical drainage and intravenous antibiotic therapy may be lifesaving. The pathogenesis and hemodynamic consequences of pericardial effusion, cardiac tamponade, pericardial constriction and pneumopericardium are also discussed. The key to intelligent management of pericardial disease is an appreciation of the fact that the abnormal hemodynamics resulting from these disorders can frequently only be relieved by cardiac decompression.
本文讨论了儿童期心包疾病的病因、临床表现、诊断及治疗。脓性心包炎是一种内科及外科急症。及时的外科引流及静脉抗生素治疗可能挽救生命。文中还讨论了心包积液、心脏压塞、心包缩窄及心包积气的发病机制和血流动力学后果。心包疾病合理治疗的关键在于认识到这些疾病导致的异常血流动力学状况常常只能通过心脏减压来缓解。
