【摘要】 9例急性化脓性心包炎行Ⅰ期心包切除术后均痊愈,随访结果良好。Ⅰ期心包切除能及时清除病灶和防止缩窄形成。手术指征为脓液粘稠,甚或心包呈分隔积脓、感染不易控制,经系统性内科治疗效果欠佳,抑或出现心包缩窄均宜尽早施行心包大部分切除。手术途径宜选左前外侧第4肋间进胸,尽可能经胸膜外途径。心包切除范围尽可能广泛,以清除更多的病灶。强调围手术期处理。更多还原

【Abstract】 The first pericardectomy can eliminate foci and prevent pericardium from constriction timely.9 patients recovered from acute suppurative pericarditis through the first pericardectomy.A Large portion of pericardium must be excised early when the plus of pericardium is very thick; the infection is uneasily controled, or through systemic medical treatment, the effect is not ideal; or the pericardium has come into coarctation.The way into thorax of operation must be chosen to start from the forth intercostal muscle on the left front lateral portion, from extrapleura as possible as we can.更多还原