重庆与四川地区128例小儿心包积液临床分析

Clinical analysis of 128 children with pericardial effusion in Chongqing and Sichuan province

目的:总结小儿心包积液临床特点,以指导临床诊断与治疗。方法:对重庆和四川地区128例心包积液患儿的临床特点、治疗及预后资料进行回顾性分析。结果:小儿心包积液临床表现多样,病因构成前3位为肺吸虫病(60.2%)、化脓性(14.8%)和结核性(8.6%)。结论:重庆、四川地区小儿心包积液以感染性为主,其中肺吸虫性最常见;询问吃生蟹史,常规查外周血和心包液中嗜酸粒细胞计数,对本病诊断价值大。

Objective：To summarize the clinical characteristics of children with pericardial effusion and give guidelines for diagnosis and treatment. Method： The clinical characteristics, diagnosis and prognosis of 128 children with pericardial effusion were reviewed. Result： There was diversity in clinical manifestation. Paragonimiasis （60.2 %）, purulent periearditis （14.8 %）, and tuberculous pericarditis （8.6 % ） were the leading causes in all the cases. Conclusion： Infection is the most important cause of pericardial effusion of children in Chongqing and Sichuan province, and paragonimiasis periearditis is the most common one. Case history of having eaten raw crab, eosinophil count in peripheral blood and pericardial fluid are valuable for the diagnosis.