二氧化碳鐳射支氣管鏡手術後氣包心症－－病例報告

Pneumopericardium after Bronchoscopic Carbon Dioxide Laser Surgery-- A Case Report

一位女嬰因氣管狹窄接受二氧化碳鐳射支氣管鏡手術後發生氣包心症，手術期間發生氣包心症是很少見的症狀。我們回顧氣包心症的發生原因及臨床症狀，以及氣包心症和縱膈腔充氣的鑑別診斷。發生氣包心症時必須儘早診斷，如果發生心包膜填塞，必須緊急實施心包膜穿刺。

A female baby sustained pneumopericardium after bronchoscopic C02 laser surgery for tracheal stenosis. Perioperative pneumopericardium though rare is a life-threatening condition in babies. The symptoms are usually not specific such as hypotension, bradycardia, muffled heart sound, cardiovascular collapse, etc. The causes and clinical findings of pneumopericardium were reviewed, as are the radiographic features so as to differentiate the condition from pneumomediastinum. Early recognition of pneumopericardium is important, because emergent pericardiocentesis may be required if there is clinical evidence of cardiac tamponade.