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162例缩窄性心包炎的外科治疗体会
Surgical treatment of constrictive pericarditis in 162cases
【摘要】 作者对162例缩窄性心包炎患者行心包部分切除术后获得良好的治疗效果。年龄最小6岁,最大66岁。手术死亡率为3.1%,死亡主要原因为术后低心排。作者主张心包切除先左后在,良好的围手术期处理及合理配合用药对预防术后低心排发生有重要作用。
【Abstract】 AbstractThe authors reports the experience of surgicaltreatment of constrictive pericarditis in 162 cases. Ageranged from 6 to 66 years old.The cardiac fuction andcirculatory dynamics were improved after decorticationof the thickened pericardium in most of the patients.Overall surgical mortality was 3.1%。The major causeof death was low cardiac output syndrome in the earlypostoperative period.Theauthers consder that the ex-cision of the thickened pericardium is better to beginfrom the left to right and the good perioperative man-agement particularly the rational agents is essential inthe prevention of low cardiac output syndrome
- 【文献出处】 中华外科杂志 ,Chiese Journal of Surgery , 编辑部邮箱 ,1994年12期
- 【分类号】R654.2
- 【被引频次】22
- 【下载频次】73