摘要
目的 探讨心包内全肺切除术的适应证 ,手术技术 ,心包缺损修补和心脏疝预防 ,术后心律失常的处理等问题。方法 回顾性分析自 1993年 1月至 1999年 3月施行的心包内全肺切除术83例的病例资料。结果 全部病例均术中修补心包 ,其中术中直接间断缝合心包缺损 6 5例 ,自体壁层胸膜修补心包 17例 ,涤纶片修补 1例。术后无心脏疝发生。术后并发心律失常 8例 ,均发生在术后 1周内。结论 术中探查才能决定是否行心包内全肺切除术 ;术中妥善修补心包可预防心脏疝 ;术后 1周内心电监护是必要的。
Objective To discuss the indication and operating technique of intrapericardial pneumonectomy,the repair of pericardial defect,prevention of cardiac herniation and the postoperative arrhythmia.Methods We collected 83 patients who underwent intrapericardial pneumonectomy from January 1993 to March 1999.Results All of the perieardial defects were repaired during operation,by direct suture in 65 patients,parietal pleura in 17 patients and dacron patch in 1 patient.Cardiac herniation didn't happen after operation in all patients.8 patients had postoperative arrhythmia within the first week.Conclusions Intrapericardial pneumonectomy was decided in operation;to repair pericardial defect in operation can prevent cardiac herniation;continue EKG was necessary within one week after operation. [
出处
《临床外科杂志》
2000年第5期276-277,共2页
Journal of Clinical Surgery
关键词
心包内全肺切除术
适应证
手术
心包修补
Intrapericardial pneumonectomy
Indication
Operating technique
Pericardial repair
Postoperative arrhythmia
