杨思远,胡选义,吴观生,彭万富,陈黔苏,李学军,李百文

• 1:贵阳医学院附院心脏外科

摘要(Abstract)：

目的:总结缩窄性心包炎的外科治疗方法及经验,探讨围手术期处理的注意事项。方法:5年中对51例缩窄性心包炎患者施行心包剥脱术,术前NYHA心功能分级,采用左前外侧入路及正中开胸。全组患者心包剥离范围为上至心底大血管根部,下达心包膈面,彻底松解心尖部;左侧至膈神经前约1cm处。结果:全组围手术期死亡2例,存活患者出院时NYHA心功能Ⅰ级26例,Ⅱ级20例,Ⅲ级2例,Ⅳ级1例;失访7例,其余42例随访1月～5年,疗效满意者30例,进步者11例,无效者1例。结论:心包剥脱术是缩窄性心包炎的有效治疗手段,合适的手术时机、手术切口、心包切除范围和有效的围手术期处理是提高手术成功率的关键。

关键词(KeyWords)： 心包炎,缩窄性;心包;心包切除术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杨思远,胡选义,吴观生,彭万富,陈黔苏,李学军,李百文

DOI: 10.19367/j.cnki.1000-2707.2011.01.034

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