Joshua T Fields, Conor P O'Halloran, Paul Tannous, Brock A Karolcik, Scott M Bradley, Minoo N Kavarana, John F Rhodes, Eric M Graham, John M Costello
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引用次数: 0
摘要
患有心包切开术后综合征的儿童可能会出现血流动力学意义上的心包积液,需要通过手术心包开窗或心包穿刺引流。最佳方法尚不清楚。我们在两家儿科心脏中心进行了一项回顾性观察研究。我们纳入了 42 名患儿,年龄 P = 0.03),并倾向于更早进行干预(中位数为 8 天 vs. 16 天,P = 0.16)。没有患者需要后续引流。在心包插管天数(中位数为 4 天)、并发症以及随后的重症监护或住院天数方面,组间没有差异。这些数据表明,对于患有心包切除术后综合征并伴有需要引流的心包积液的患儿,心包开窗术和心包穿刺术具有相似的疗效、安全性和资源利用率。
Differences in outcomes between surgical pericardial window and pericardiocentesis in children with postpericardiotomy syndrome.
Children with postpericardiotomy syndrome may develop hemodynamically significant pericardial effusions warranting drainage by surgical pericardial window or pericardiocentesis. The optimal approach is unknown. We performed a retrospective observational study at two pediatric cardiac centers. We included 42 children aged <18 years who developed postpericardiotomy syndrome following cardiac surgery between 2014 and 2021. Thirty-two patients underwent pericardial window and 10 underwent pericardiocentesis. Patients in the pericardial window group presented with postpericardiotomy syndrome sooner than those who underwent pericardiocentesis (median 7.5 days vs. 14.5 days, P = 0.03) and tended to undergo earlier intervention (median 8 days vs. 16 days, P = 0.16). No patient required subsequent drainage. There were no differences between groups in days of pericardial tube duration (median 4 days), complications, and subsequent days of intensive care or hospitalization. For children with postpericardiotomy syndrome with a pericardial effusion warranting drainage, these data suggest that pericardial window and pericardiocentesis have similar efficacy, safety, and resource utilization.