Murat Vakeli, Qian Zhongxi, Guo Shuiyuan, Qiao Jun
Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China.
Asian Cardiovasc Thorac Ann. 2007 Aug;15(4):278-9. doi: 10.1177/021849230701500402.
Between 1978 and 2002, 15 patients (mean age, 23.0 +/- 8.5 years) with cardiac and pericardial echinococcosis were treated surgically. The cysts were located in the right atrium in 3 patients, on the anterior myocardium in 7, and pericardially in 5. The 3 patients with right atrial cysts were operated on using cardiopulmonary bypass. There were 4 recurrences requiring re-operation after a mean of 12 months. All other patients received mebendazole treatment and exhibited no recurrence during follow-up. One late death due to chronic right heart failure occurred after 10 months of follow-up. The serologic test is an effective method of diagnosis in undeveloped and developing countries.
1978年至2002年间，15例心脏和心包棘球蚴病患者（平均年龄23.0±8.5岁）接受了手术治疗。囊肿位于右心房3例，前心肌7例，心包5例。3例右心房囊肿患者采用体外循环进行手术。平均12个月后有4例复发需要再次手术。所有其他患者接受甲苯咪唑治疗，随访期间无复发。随访10个月后发生1例因慢性右心衰竭导致的晚期死亡。血清学检测在不发达国家和发展中国家是一种有效的诊断方法。
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