Aetiological distribution and clinical features in children with large pericardial effusion who underwent pericardiocentesis.

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology in the Young Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI:10.1017/S104795112500054X
Furkan Donbaloğlu, Vehbi Doğan, Serpil Kaya Çelebi, Meryem Beyazal, İlker U Sayıcı, Zeynep Donbaloğlu
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引用次数: 0

Abstract

Background: We aimed to evaluate the clinical and laboratory characteristics and aetiological factors of patients who underwent pericardiocentesis for moderate to large pericardial effusion.

Method: A total of 38 patients who underwent pericardiocentesis due to moderate-severe pericardial effusion and not related to cardiac surgery were included in the study.

Results: The male-to-female ratio was 2.16, and found to be 7.5 in patients over 3 years of age. Mean age and body weight of the patients were 69.4 ± 74.9 months and 22.5 ± 22.4 kg. Dyspnoea (51.7%) was the most common complaint, followed by chest pain (37.9%). Tamponade was present in 23.7% of the patients. The largest diameter of effusion was 24.4 ± 10.4 mm. The amount of fluid drained was 279.24 ± 279 ml. Macroscopic appearance was serous in 12 (34.3%), and haemorrhagic in 18 (51.4%). No complication related to procedure was seen. Aetiology for efusion was infectious in 26%, idiopathic in 18%, iatrogenic in 11%, rheumatological in 11%, malignancy in 8%, cardiomyopathy in 8%, and other factors related in 18%. Of the 38 patients, 16 received nonsteroidal anti-inflammatory drugs (NSAID), and colchicine and corticostreoid were added in nine and two patients, respectively. A total of eight (21%) patients died during follow-up.

Conclusion: In conclusion, percutaneous pericardiocentesis can be applied safely and the underlying aetiology is decisive in the prognosis of the patient. Although pericardial effusion in children is often due to inflammation of the pericardium, it can develop as a finding of many local or systemic diseases that should be kept in mind.

大量心包积液患儿行心包穿刺的病因分布及临床特点。
背景:我们旨在评估因中度至重度心包积液而行心包穿刺的患者的临床和实验室特征及病因学因素。方法:38例因中重度心包积液行心包穿刺,与心脏手术无关的患者纳入研究。结果:男女比例为2.16,3岁以上患者男女比例为7.5。患者平均年龄69.4±74.9个月,平均体重22.5±22.4 kg。呼吸困难(51.7%)是最常见的主诉,其次是胸痛(37.9%)。23.7%的患者存在填塞。最大积液直径为24.4±10.4 mm。肉眼可见浆液12例(34.3%),出血18例(51.4%)。未见手术相关并发症。积液的病因为感染性26%,特发性18%,医源性11%,风湿病11%,恶性肿瘤8%,心肌病8%,其他相关因素18%。在38名患者中,16名患者接受了非甾体抗炎药(NSAID), 9名和2名患者分别添加了秋水仙碱和皮质类固醇。随访期间共有8例(21%)患者死亡。结论:经皮心包穿刺是安全可行的,其病因对患者的预后起决定性作用。虽然儿童心包积液通常是由于心包炎症引起的,但它也可能发展为许多局部或全身性疾病的表现,应牢记在心。
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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
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