Segura M A, de Jesús Almonte M, Lozano González C H
Bol Med Hosp Infant Mex. 1981 Jul-Aug;38(4):627-38.
Experience with 572 events of mechanical ventilation that developed 5 cases of pneumopericardium thru the period from August 1975 to August 1979 is reported. From this series, at least two cases were in direct relationship with the administration of high mean ventilatory pressure; other two could be related to inadvertently PEEP; finally the remaining case is questioned to be a pericardium congenital defect since no relation with the other causes of pneumopericardium could be explained. Surviving from the pneumopericardium and from the drainage, pneumopericardium is commented according to what has being reported in the literature that follows about the same trend of our series where the relative fatality risk is higher when a pericardiumcentesis is practiced.
报告了1975年8月至1979年8月期间572例机械通气事件中有5例发生了心包积气的情况。在这一系列病例中，至少有两例与高平均通气压力的应用直接相关；另外两例可能与无意中使用呼气末正压有关；最后剩下的一例被怀疑是先天性心包缺损，因为无法解释其与其他心包积气原因的关系。在心包积气及引流后存活下来，根据文献报道的心包穿刺时相对死亡风险较高的相同趋势，对心包积气进行了评论，这与我们系列病例的趋势一致。
