Reppert S M, Ment L R
J Pediatr. 1977 Jan;90(1):115-7. doi: 10.1016/s0022-3476(77)80783-x.
Pneumopericardium with cardiac tamponade is a life-threatening emergency in the newborn infant. The case fatality rate is high (75% in 41 documented cases in the English literature), and diagnosis often delayed (in 13 of 29 deaths the pneumopericardium was diagnosed postmortem). Treatment is frequently unsatisfactory, and recurrence of the pneumopericardium with tamponade is likely after initial pericardial needle aspiration--an incidence of 53%. A case of pneumopericardium in a critically ill newborn is reported; the details of successful management, using a large bore intrapericardial catheter with continuous drainage, are discussed.
新生儿气心包合并心脏压塞是一种危及生命的急症。病死率很高（英文文献记载的41例病例中病死率为75%），诊断常常延迟（29例死亡病例中有13例是在尸检时才诊断出气心包）。治疗效果常常不尽人意，初次心包穿刺抽液后气心包合并压塞很可能复发，复发率为53%。本文报告了1例危重新生儿气心包病例；讨论了使用大口径心包内导管持续引流成功治疗的详细情况。
