慢性缩窄性心包炎的围术期处理

Perioperative Management for Chronic Constrictive Pericarditis

目的 探讨慢性缩窄性心包炎的围术期处理方法。 方法 96例慢性缩窄性心包炎病人均行心包剥脱术。 结果 全组死亡 1例 (1.0 4 % )。82例 (85 .4 1% )随访 2个月～ 15年 ,其中 80例心功能得到改善。 结论 心包剥离术是治疗慢性缩窄性心包炎的有效方法 ,而良好的围术期处理至关重要。

Objective To investigate the perioperative management for chronic constrictive pericarditis. Methods 96 patients of chronic constrictive peircarditis were received pericardiectomy . Results A patient died, the mortality was 1.04%. 82 patients (85.41%) were followed up for 2 months to 15 years. The cardiac function of 80 patients were improved. Conclusions Pericardiectomy is an effective therapy for chronic constrictive pericarditis. It is the key point of good perioperative management for ideal clinical effect.