摘要
本文总结分析8例经手术和病理证实的慢性特发性心包炎伴血性心包积液患者的临床表现与手术和随访结果。所有患者均有静脉压增高(23～37.5cmH_2O),大量心包积液和心包缩窄的其它体征,多次心包穿刺抽液不能缓解症状。所有患者都进行了心包切除术,1例术后2天死于低排综合征,余7例被随访12～89个月(平均41个月),症状消失3例、好转2例、后期死亡2例。总之,本病应与心包肿瘤和结核性心包炎鉴别,早期心包切除术可明显改善症状和预后,个别心肌受累严重的患者手术疗效差。
Eight patients with chronic idiopathic pericarditis associated with hemorrhagic pericardial effusion were operated upon. The clinical manifestations, operative and follow-up results were analyzed. All had various degrees of elevated venous pressure (23-37.5cmH2O), massive hemorrhagic pericardial fluid and other signs of pericardial constriction. Multiple pericardicentesis failed to relieve the symptoms. Pericardiectomy was performed in all cases. Two days after operation, one patient died of low-output syndrome. The other 7 patients were followed up for 12-89 months (mean 41 months). Symptoms subsided in 3 patients, improved in 2 and 2 died at late stage. In short, chronic idiopathic pericarditis with hemorrhagic pericardial effusion should be differentiated from pericardial tumors and tuberculous pericarditis. Early pericardiectomy could relieve the symptoms and improve the prognosis. Individual cases with serious myocardial involvement had poor operative outcome.
出处
《上海医学》
CAS
CSCD
北大核心
1989年第1期8-11,共4页
Shanghai Medical Journal
