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小儿缩窄性心包炎虽不多见,但往往在确诊前长期被误诊为其他疾病。本文分析我院自1957～1978年间经手术证实为缩窄性心包炎的患孩共18例,探讨其误诊原因,以进一步提高诊疗水平。临床资料性别:男12例,女6例。年龄:1～5岁5例,6～10岁8例,11～15岁5例;最小为1岁。自发病至就诊时间:1周至5年。病程在半年以内者10例,6个月～1年者3例,2～5年者5例。病史:有急性心包炎病史者11例,另5例有低热病史,另2例病史不详。症状与体征:有浮肿者18例,腹胀与尿少者各17
Infant constrictive pericarditis is rare, but often misdiagnosed as other diseases before the diagnosis. This article analyzes our hospital from 1957 to 1978 surgically confirmed as constrictive pericarditis in children with a total of 18 cases, to explore the causes of misdiagnosis in order to further improve the level of diagnosis and treatment. Clinical data Sex: 12 males and 6 females. Age: 1 to 5 years in 5 cases, 6 to 10 years in 8 cases, 11 to 15 years in 5 cases; the smallest is 1 year old. From onset to treatment time: 1 week to 5 years. Course of disease within six months in 10 cases, 6 months to 1 year in 3 cases, 2 to 5 years in 5 cases. History: There are 11 cases of history of acute pericarditis, the other 5 cases have a history of low fever, the other 2 cases of unknown history. Symptoms and signs: edema in 18 cases, abdominal distension and oliguria 17