心包切开错位缝合引流术在心包积液合并心包压塞治疗中的临床应用研究

Clinic Research on Pericardial Tamponade Treated with Pericardiotomy and Stagger Suture

目的:探讨心包切开错位缝合引流技术在心包积液合并心包压塞治疗中的效果及安全性。方法:回顾分析1996年3月～2008年7月收治的136例心包积液合并心包压塞患者诊疗情况,所有患者均行心包切开错位缝合引流术。结果:本组患者手术成功率100%,术后心包压塞症状立即缓解;无严重并发症发生;术后随访再次出现心包压塞表现者7例;结核性心包炎4例,肿瘤性心包炎3例。结论:应用心包切开错位缝合引流技术治疗心包积液合并心包压塞安全有效。

Objective： To investigate the safety and efficacy of pericardiotomy and stagger SUture in patients with pericardial tamponade. Method： The clinical data of 136 cases with pericardial tamponade during 1996 to 2008 in Cangzhou Central Hospital were retrospectively analyed. All patients were treated with pericardiotomy and stagger suture.Results： 136 patients were successfully treated with pericardiotomy and stagger suture.No senous complications were found in the term of opera, on and in hospital.There were 7 pericardial tamponade events in clinical follow-up： 4 cases were tuberculous pericardiris;3 were tumorous one.Conclusions： Pericardiotomy and stagger suture Was safe and effective in treatrment of peticardiat tamponade.