[心肺肝联合包虫病的外科治疗]

[Surgical treatment of the combined heart, lung and liver hydatid disease].

作者信息

Nazyrov F G, Abdumadzhidov Kh A, Buranov Kh D, Akbarov M M, Aliev Sh M, Mukaddirov M M

出版信息

Khirurgiia (Mosk). 2009(5):23-6.

PMID:19491763

Abstract

Results of surgical treatment of 12 patients with the combined hydatid disease of heart and target organs (liver, lungs) are analyzed. Authors recommend echocardiography for all the patients with echinococcosis of target organs as a means of timely heart involvement diagnostics. Simultaneous surgery for the combined hydatid disease is recommended. The use of artificial circulation is reasonable for cardiac echinococcosis (n=66,7%) treatment, whereas pericardial hydatid cysts (n=33,3%) can be operated without such measures. Cyst perforations to the heart cavity should be considered a fatal complication of the disease. Intraoperative lethality achieved 25%.

摘要

对12例心脏合并靶器官（肝脏、肺）包虫病患者的手术治疗结果进行了分析。作者建议，对于所有患有靶器官棘球蚴病的患者，均应进行超声心动图检查，作为及时诊断心脏受累情况的手段。建议对合并包虫病同时进行手术。对于心脏包虫病（n = 66.7%）的治疗，使用人工循环是合理的，而心包包虫囊肿（n = 33.3%）可以在不采取此类措施的情况下进行手术。囊肿破入心脏腔应被视为该疾病的致命并发症。术中死亡率达到25%。