Morriss J H, Lee J, Lupinetti F M
Division of Pediatric Cardiology, University of Iowa, Iowa City 52242.
Pediatr Cardiol. 1994 Mar-Apr;15(2):85-8. doi: 10.1007/BF00817614.
Two children with acute symptomatic pericardial effusion had unusual echocardiographic findings. In each case, the pericardial effusion was hemorrhagic. Echocardiography displayed numerous linear bands coursing across the pericardial space. Recognition of this characteristic image may predict that an acute effusion is loculated, and perhaps hemorrhagic, so that surgical drainage will offer the most definitive treatment. Knowledge gained during management of the first patient was used to anticipate treatment of the second patient, influencing the choice to perform pericardiocentesis in the catheterization laboratory and to alert surgical colleagues of the anticipated need for surgical drainage.
两名患有急性症状性心包积液的儿童有异常的超声心动图表现。在每个病例中，心包积液均为血性。超声心动图显示有许多线性条带穿过心包腔。识别这种特征性图像可能预示急性积液是局限性的，或许是血性的，因此手术引流将提供最确切的治疗。在第一位患者的治疗过程中获得的知识被用于指导第二位患者的治疗，影响了在导管室进行心包穿刺术的选择，并提醒外科同事预计需要进行手术引流。
