Lawson E E, Gould J B, Taeusch H W
J Pediatr Surg. 1980 Apr;15(2):181-5. doi: 10.1016/s0022-3468(80)80013-3.
Neonatal pneumopericardium (PPC) is a frequently encountered complication of ventilator therapy. However, the appropriate management remains controversial. We describe seven infants who demonstrate the clinical spectrum of PPC. It is apparent that PPC can occur as an asymptomatic finding and may not require invasive therapy. PPC may present also with cardiac tamponade and require immediate diagnosis and therapy. Simple needle pericardiocentesis is appropriate therapy for most cases with tamponade, however a few babies with PPC uncontrolled by needle aspiration required placement of pericardial catheter for continuous drainage of the air. Mortality from PPC with tamponade (86% without therapy) should be much improved with modern management.
新生儿心包积气（PPC）是机械通气治疗中常见的并发症。然而，恰当的处理方法仍存在争议。我们描述了7例展现PPC临床谱的婴儿。显然，PPC可能表现为无症状，可能无需侵入性治疗。PPC也可能表现为心脏压塞，需要立即诊断和治疗。对于大多数心脏压塞病例，单纯心包穿刺术是合适的治疗方法，然而，少数经针吸治疗后PPC仍未得到控制的婴儿需要放置心包导管以持续排出气体。采用现代治疗方法，PPC合并心脏压塞的死亡率（未经治疗为86%）应会显著降低。
