86例缩窄性心包炎的手术治疗体会

Surgical treatment for 86 patients with chronic constrictive pericarditis

目的探讨缩窄性心包炎的手术治疗方法及效果。方法回顾性分析近8年来86例缩窄性心包炎患者的治疗,其中男性58例,女性28例。年龄16～79(40±10.6)岁。术前心功能Ⅱ级13例,Ⅲ级58例,Ⅳ级15例。左前外侧切口61例,前胸正中切口25例。均在全麻下行心包剥脱手术治疗。结果围术期死亡5例,69例恢复满意。结论心包剥脱手术是缩窄性心包炎治疗的有效方法,一旦确诊应尽早手术。

Objective The purpose of narrowing of the surgical treatment of pericarditis and effect. Methods Retrospective analysis of ways the past eight years, 86 cases of pericarditis narrow the patient＇s treatment, of which 58 cases of men and women in 28 cases. Age 16 to 79- year-old （40±10.6）. Preoperative cardiac function grade Ⅱ 13 cases,Ⅲ-58 cases, Ⅳ level in 15 cases. 61 cases of the left anterior lateral incision, the center of the chest incision in 25 cases. In general anesthesia are stripping down cardiac surgery. Results perioperative death five cases, 69 cases of resumption of satisfaction. Conclusions Cardiac surgery stripping narrow pericarditis is an effective treatment methods, should be confirmed as soon as possible once the operation.