【摘要】 本文报告460例心脏直视手术经胸腔引流替代纵隔及心包引流的体会。全组无纵隔感染及急性心包填塞并发症。作者认为经胸腔引流对预防心脏直视术后纵隔感染及急性心包填塞有重要意义，对于大心脏和瓣膜替换病人、复杂先天性心脏病纠治、体外循环时间长、肝功能差的病例可常规采用。更多还原

【Abstract】 460 patients received drainage through thoracic cavity rather than through mediastinum or pericardium after open heart surgery. No complications of mediastinal infection or acute pericardial tamponade were found. The authors believe that thoracic drainage is of great significance and should be adopted as a routine process in the valve replacement and the correction of complicated congenital heart deformities,as well as for patients who need long time extracorporeal circulation or those with cardiomegaly and abnormal hepatic function.更多还原