摘要目的 总结小儿肺吸虫性心包炎的外科治疗经验.方法 对我院2000年1月至2009年6月间行外科治疗的54例小儿肺吸虫性心包炎进行回顾性研究,对其临床表现、诊断方法、治疗方法及疗效进行总结.结果 诊断急性心包炎45例,行心前区心包大部切除并心包引流术,诊断缩窄性心包炎9例,行心包剥脱术.其中1例急性心包炎行心包部分切除术后心包再缩窄,再次行心包剥脱术,所有病例治愈出院,远期疗效良好.结论 小儿肺吸虫性心包炎中等量以上积液,尽早行心包部分切除能缩短病程,避免缩窄性心包炎的发生.

abstractsObjective To summarize our experience of surgical treatment of paragonimus pericarditis in children. Methods Between January 2000 and June 2009,54 children with paragonimus pericarditis in our hospital were treated surgically. The clinical manifestations, diagnosis, treatment and effects were reviewed. Results Forty-five children were diagnosed as acute pericarditis and underwent pericardial resection (Most of the precordial pericardium) and pericardial drainage. Nine patients were diagnsed as constrictive pericarditis and underwent pericardial stripping. Of them, one patient with acute pericarditis developed re-constriction after pericardial resection and underwent repeated pericardial stripping. All 54 children were cured. The result of long term follow-up was satisfactory. Conclusions Patients with paragonimus pericarditis with moderate or severe pericardial effusion require early pericardial resection. This could shorten the course and avoided occurrence of constrictive pericarditis.