Tagami H, Utoh J, Kunitomo R, Hagiwara S, Uemura S, Muranaka T, Moriyama S, Okamoto K, Nishimura K, Kitamura N
First Department of Surgery, Kumamoto University School of Medicine, Japan.
Kyobu Geka. 2000 Jul;53(7):567-70.
We report the results of long-term follow up in 9 patients who underwent pericardiectomy for constrictive pericarditis. In order to test whether if congestive liver dysfunction due to the disease could be reversible or not after the surgical repair, the patients were evaluated by indocyanine green (ICG) clearance test. All the patients improved in NYHA classification after long-term periods following surgical repairs. The percentage of ICG retention at 15 minutes (ICG-R15) improved in most of the patients. However, two patients who had a long history from the onset before surgery became worse in ICG-R15. From the above reports, reversibility of hepatic function might be dependent on the duration of liver congestion before surgical repairs.
我们报告了9例因缩窄性心包炎接受心包切除术患者的长期随访结果。为了检测疾病所致的充血性肝功能障碍在手术修复后是否可逆,通过吲哚菁绿(ICG)清除试验对患者进行评估。所有患者在手术修复后的长期随访中纽约心脏协会(NYHA)分级均有改善。大多数患者15分钟吲哚菁绿潴留率(ICG-R15)有所改善。然而,两名术前发病时间较长的患者ICG-R15情况变差。根据上述报告,肝功能的可逆性可能取决于手术修复前肝脏充血的持续时间。