【摘要】 目的总结分析128例缩窄性心包炎的外科治疗经验。方法回顾分析128例经外科手术治疗的慢性缩窄性心包炎患者的临床资料。结果本组术后早期死亡2例,死亡率1.57%,死亡原因:均为严重低心排综合征。其它并发症有:低心排综合征17例(13.2%),心律失常9例(7.02%),急性肾功能不全5例(3.9%),呼吸功能不全4例(3.1%),伤口感染3例(2.3%),术后胸内出血2例(1.6%),脑梗塞1例(0.78%)。早期1例因心包切除不彻底而复发。结论缩窄性心包炎应尽早确诊,积极手术,术中心包切除范围因病情而定,力求彻底松解病变心包,术后积极预防各种并发症的发生。更多还原

【Abstract】 Objective To summarize the experience with surgical treatment of constrictive pericarditis. Methods A retrospective analysis of the post-operative clinical data was conducted in 128 surgical patients with chronic constrictive pericarditis. Results Two early postoperative death occurred in this group due to severe low cardiac output syndrome, with the mortality rate of 1.57%. The postoperative complications included low cardiac output syndrome (13.2%), arrhythmia (7.02%), acute renal insufficiency (3.9% ), respiratory insufficiency (3.1% ), wound infection (2.3% ), postoperative chest bleeding (1.6% ) and cerebral infarction (0.78% ). Relapse occurred in one case because of incomplete pericardial resection. Conclusions Constrictive pericarditis should be confirmed as soon as possible with actively surgery, and the extent of pericardial resection should be decided according to the individual conditions. Complete untethering of the diseasod pericardium should be performed with active prevention of postoperative complications.更多还原