小儿心包积液病因分析  

Analysis on etiology of children with pericardial effusion

作　　者：邢淑华[1] 张宏艳[1] 陈静[1] 程佶[1] 陈朝晖[1] 

机构地区：[1]天津市儿童医院心内科,300912

出　　处：《河北医药》2008年第5期623-624,共2页Hebei Medical Journal

摘　　要：目的探讨小儿心包积液的病因。方法回顾性分析小儿心包积液患儿95例,根据心包积液量多少分为2组:中等至大量心包积液组(A组)41例,少量心包积液组(B组)54例。结果(1)2组心包填塞的发生率差异有统计学意义(P<0.01)。(2)2组病因构成比较差异有统计学意义(P<0.05)。病毒性感染44例占46.3%,居首位,其中急性病毒性心肌心包炎17例占17.9%。(3)2组治疗后,治愈率、好转率及病死率差异有统计学意义(P<0.05)。结论病毒感染是小儿心包积液最常见的病因;微小病毒B19是病毒性心包炎最重要的病原,且常合并心肌炎。Objective To explore the causes of pericardial effusion of children, Methods Retrospective analysis of 95 cases of pericardial effusion of children was carried out, A total of 95 patients were divded into 2 groups, 41 patients with middle m large pericardial effusion were selected as group A, 54 patients with small pericardial effusion were selected as group B. Results （1）Incidence rate of tamponade in group A was increased significantly, as compared with that of group B（ P 〈 0.01）, （2） Proportion of specific causes of infection have significant difference between two groups（ P 〈 0.05）, Viral infection（46.3% ） was the most frequent cause, Viral pericarditis complicated by myocarditis was 17（ 17.9% ）cases. （3）These were significant differences in the cure rate, efficacy and fatahty between two groups （P 〈 0,05） .Conclusion Viral infection was the most common cause of pericardial effusion in children; Parvovirus B19 was the most impart,ant pathogen of viral pericarditis which were often combined by myocarditis.

关 键 词：心包积液 儿童 病因 

分 类 号：R725.421.2[医药卫生—儿科] R541.610.1[医药卫生—临床医学]