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本文报道我院从１９８１～１９９１年为３８例小儿急性化脓性心包炎施行心包大部切除术，疗效满意，这与围术期处理关系密切，充分的术前准备和心包穿刺对提高患者手术的耐受性极为重要；我们认为一经确诊后即行手术.文中讨论了麻醉诱导期发生严重低血压和心脏骤停的紧急处理措施；并强调术中术后输血或血浆提高胶体渗透压，同期应用硝普钠和速尿减轻心脏前后负荷，以改善心脏功能.
This article reports from 1981 to 1991 in our hospital for 38 cases of pediatric acute suppurative pericarditis performed pericardial resection, satisfactory efficacy, which is closely related to perioperative management, adequate preoperative preparation and pericardiocentesis to improve the operation of patients Tolerance is extremely important, and we think that surgery should be done once diagnosed, and urgent measures of severe hypotension and cardiac arrest during the induction period of anesthesia are discussed, and intraoperative or postoperative blood transfusions or plasma increases the colloid osmotic pressure. In the same period, Pu sodium and furosemide reduce the heart before and after the load, to improve cardiac function.