瓣膜置换术后远期大量心包积液的临床分析  

The clinic study of delayed large pericardial effusion after valve replacement

作　　者：陈灏 杨庆军[1] 何德沛[1] 赵次洪[1] 严宇[1] 吴洪坤[1] 罗勇金[1] 余杨[1] 

机构地区：[1]重庆市中山医院,重庆市心血管疾病治疗中心,400013

出　　处：《中国医药指南》2008年第24期5-6,共2页Guide of China Medicine

摘　　要：目的探讨瓣膜置换术后迟发性大量心包积液的原因、临床特征及治疗对策。方法回顾2000年1月至2008年1月的瓣膜置换术后迟发性大量心包积液病例,分析其形成原因和治疗效果。结果共14例患者,男性1例,女性13例,年龄41～55岁(平均年龄45.5岁),首次引流量650～1 040mL(平均821mL),引流时间13～21d(平均16.6d)。远期随访情况良好。结论迟发性大量心包积液多见于女性换瓣患者,应予以重视,以经皮穿刺心包引流即可治愈。Objective Explore the result,clinical characters and therapy of delayed large pericardial effusion after valve replacement. Methods Retrospective review the delayed larger pericardial effusion after valve replacement between Jan 2001 and Jan 2008,analysis the reason and result of treatment.Results There are lmale and 13 female were collected.The first drainage effusion was 650～1040mL(average821mL),The time of drainage from 13 to 21 days(average 16.6).The late followed is good.Conclusion Delayed larger pericardial effusion is more common after isolated valve operation of female and must be watch out.The percutaneous puncture pericardial drainage is a good device to healing.

关 键 词：心内直视手术 瓣膜置换 心包积液 心包填塞 

分 类 号：R654.2[医药卫生—外科学]