摘要
手术治疗缩窄性心包炎44例。手术死亡3例,手术死亡率为6.8％,均死于术后循环、呼吸功能衰竭。38例进行了长期随访,平均随访6年4个月,除2例分别于手术后1年和1年8个月时复发,行二次手术后死亡外,其余病例心功能均有不同程度的改善。本文对手术时机的选择、手术径路、心包剥脱的范围及围术期强心、利尿剂的使用等进行了讨论,强调了手术时机选择不当与复发率的关系。
Surgery treatment was conducted for 44 cases of constrictive pericarditis. 3 cases died of circulatory and respiratory failure with mortality of 6.8%. 38 cases have been followed up for the mean period of 6 years 4 months. 2 cases recurred at 1 year and 1 year 8 months after surgery and died after reoperation. Cardiac function of the others has recovered variously. This paper dealt with surgery opportunity, pathway, range of dissection, usage of cardiokinetic and diuretic perioperation. The relationship between surgery opportunity and recurrence were stressed.
关键词
心包炎
心脏外科手术
constrictive pericarditis
pericardiectomy
surgery opportunity
