摘要
目的 探讨缩窄性心包炎心包切除范围对手术效果的影响。方法 选择我院收治的缩窄性心包炎 38例。依据手术方法不同随机分成 2组 ;观察组 18例行左心包切除术 ,对照组 2 0例做全心包切除术。结果 术后观察组的平均动脉压 (MAP)为 (114 .0 0± 11.6 7)mmHg ,心率 (HR) (99.5 0± 8.2 1)次 /min ,脉压差 (PPD) (2 5 .6 3± 2 .97)mmHg ,均 >对照组的MAP(90 .80± 10 .6 6 )mmHg ,HR(88.80± 8.6 3)次 /min和PPD(16 .70± 3.0 6 )mmHg。二组差异有统计学意义 (P <0 .0 1)。结论 心包炎左心包切除比全心包切除对术后心功能恢复有利。
Objective To evaluate the effect of the area of respectable pericardium on constrictive pericarditis operation. Methods From 1997 to 2003,38 patients with constrictive pericarditis underwent surgical treatment.Based on the Ways of operation,the groups were divided into two groups,study group,18 cases resected only left pericardium,and control group,20 cases cut all pericardium. Results After operation, mean artery pressure(MAP) of study group was (114±11.67) or (114～11.67)mmHg,heart rate(HR) (99.50±8.21) or (99.50～8.21)per minute.Pulse pressure difference(PPD) (25.63±2.97) or (25.63～2.97)mmHg. All the values were much larger than that of the control group,MAP (90.80±10.66) or (90.80～10.66) mmHg,heart rate(88.80±8.63) or (88.80～ 8.63)per minute,PPD (16.70±3.06) or (16.70～3.06)mmHgP<0.01. Conclusion The left pericardium operations are much better than other ones in heart function recovery.
出处
《中国心血管病研究》
CAS
2004年第11期876-878,共3页
Chinese Journal of Cardiovascular Research
关键词
缩窄性心包炎
胸外科手术
心包
血流动力学
constrictive pericarditis
cardial surgery
pericardium
hemodynamics
