Brans Y W, Pitts M, Cassady G
Am J Dis Child. 1976 Apr;130(4):393-6. doi: 10.1001/archpedi.1976.02120050051009.
Six cases of pneumopericardium in neonates with hyaline membrane disease were observed during a six-month period. Five babies were receiving positive inspiratory or expiratory pressure or both. All but one had other extra-alveolar air collections. In three cases, sudden decrease in PaO2 was the only recorded sign that led to diagnosis. Pericardial aspiration was performed in four babies; one died and three either survived or died later of unrelated disease. One neonate was not treated and died of other causes. Treatment was delayed in the sixth infant; the pneumopericardium disappeared spontaneously but soon reappeared and contributed to a fatal outcome, although a drainage catheter was inserted. This experience and review of other authors' observations suggest that prompt drainage by catheter and continuous suction is indicated.
在六个月的时间里观察到6例患有透明膜病的新生儿发生了心包积气。5名婴儿正在接受吸气或呼气正压通气或两者同时使用。除1例之外，其他婴儿均有其他肺泡外气体积聚。在3例中，PaO2突然下降是唯一记录到的导致诊断的体征。4名婴儿进行了心包穿刺抽吸；1例死亡，3例要么存活，要么后来死于无关疾病。1例新生儿未接受治疗，死于其他原因。第六名婴儿的治疗被延迟；心包积气自行消失，但很快再次出现并导致了致命结局，尽管已插入引流导管。这一经验以及对其他作者观察结果的回顾表明，应通过导管进行及时引流并持续抽吸。
