title: [Symptomatic pericardial effusions in childhood].
abstract: We present the clinical data and the management of twelve patients with symptomatic pericardial effusion (PE). The etiology of PE was: Chronic renal failure, viral infection, cardiac surgery, juvenile rheumatoid arthritis and chronic myelocytic leukemia. Four cases were diagnosed as idiophatic. PE in childhood is usually asymptomatic. When symptoms are present they are non-specific and don't help to know the size of the effusion; therefore, it's necessary to practice an echocardiography to demostrate the presence of PE. The hemodynamic findings permit to diferentiate patients with and without cardiac tamponade. The treatment of first choice is aspirin. In patients with cardiac tamponade the treatment should be pericardiocentesis.
authors.affiliation: Servicio de Pediatria II, Hospital Gregorio Marañón, Madrid.
authors.forename: M L
authors.initials: ML
authors.lastname: de la Morena Pardo
authors.forename: M I
authors.initials: MI
authors.lastname: Chamorro Romero
authors.forename: R
authors.initials: R
authors.lastname: Prados Bueno
authors.forename: J
authors.initials: J
authors.lastname: de Inocencio Arocena
authors.forename: E
authors.initials: E
authors.lastname: Maroto Alvaro
authors.forename: E J
authors.initials: EJ
authors.lastname: García Fernández
mesh_terms: D000293:Adolescent; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010491:Pericardial Window Techniques; D012214:Rheumatic Heart Disease / Q000150:complications; D014777:Virus Diseases / Q000150:complications
vernacular_title: Derrames pericárdicos sintomáticos en la edad pediátrica.