慢性缩窄性心包炎的外科治疗体会  

作　　者：尹海军 

机构地区：[1]广东省河源市人民医院胸心外科,广东河源517000

出　　处：《中外医疗》2010年第17期7-7,9,共2页China & Foreign Medical Treatment

摘　　要：目的探讨慢性缩窄性心包炎的外科手术治疗体会。方法回顾性的分析我科在2004～2008年期间对80例慢性缩窄性心包炎而进行心包剥脱术的患者,并对术前术后的心功能评分进行比较分析。结果本组80例均成功剥离心包,中心静脉压明显下降,手术成功康复出院。患者术前术后的心功能评级的差异有统计学意义。结论心包剥术是治疗慢性缩窄性心包炎有效安全的治疗方法,充足的术前准备和术后监测是降低患者死亡率,提高手术效果的重要途径。Objective To discuss the treatment experience of chronic constrictive pericarditis surgery.Methods Respectively analyze 80 patients of chronic constrictive pericarditis who were treated with XBBTS,and comparison was done for heart function scores before and after operation.Results The pericardium of 80 patients were peeled off,and the central venous pressure was reduced significantly.All these patients were recovered.There was significant difference between the scores of heart function before and after operation.Conclusion XBBTS was effective to the treatment of chronic constrictive pericarditis.Sufficient preparation before surgery and monitor after surgery were an important method to improve effect of surgery.

关 键 词：缩窄性心包炎 心包炎 心包剥脱术 心功能评级 

分 类 号：R654[医药卫生—外科学]