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小儿化脓性心包炎常为原发病所掩盖,不易早期发现,而且病死率高,故早期诊断和合理治疗,甚属重要。现将我院所见13例分析如下。临床资料一、一般资料 13例中,男9例,女4例。3岁以下1例,4～7岁3例,8～13岁9例。12例来自农村,1例来自城市。原发感染灶:败血症、脓毒败血症各4例,肺炎、脓胸各2例。局部皮肤感染1例, 二、主要临床表现发热13例,气急6例,胸闷3例。心前区疼痛4例,面色苍白8例,心前区隆起6例,心尖搏动减弱10例,心浊音界扩大12例,心音低钝10例,心包摩擦音4例,口唇紫绀2例,颈静脉怒张5例,肝肿大9例,下肢浮肿2例,奇脉3例,肺部罗音7例。三、实验室检查
Pediatric suppurative pericarditis is often covered by the original disease, not easy to find early, and high mortality, it is early diagnosis and rational treatment, is very important. Now see 13 cases in our hospital are as follows. Clinical data First, the general information 13 cases, 9 males and 4 females. 1 under 3 years old, 3 cases 4 to 7 years old and 9 cases 8 to 13 years old. Twelve were from rural areas and one from cities. Primary infection: sepsis, sepsis sepsis in 4 cases, pneumonia, empyema in 2 cases. Local skin infection in 1 case, Second, the main clinical manifestations of fever in 13 cases, 6 cases of shortness of breath, chest tightness in 3 cases. 4 cases of anterior area pain, pale in 8 cases, 6 cases of anterior precordial uplift, apex weakening in 10 cases, 12 cases of cardiac voiced sound expansion, heart sound low blunt 10 cases, 4 cases of pericardial frictional sound, 2 cases of cyanosis of lips, jugular vein 5 cases of engorgement, 9 cases of hepatomegaly, 2 cases of edema of lower limbs, 3 cases of odd veins, 7 cases of lung rales. Third, laboratory tests