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右心包虫囊肿的外科治疗

Surgical treatment of echinococcal cyst of the right heart.

作者信息

Van Nooten G, Deuvaert F, De Paepe J, Primo G

出版信息

Acta Chir Belg. 1985 Jul-Aug;85(4):227-30.

PMID:4050254
Abstract

We report a rare case of hydatidosis of the right heart. Our young patient had know pulmonary hydatidosis and presented precordial chest pain, increasing dyspnea, cough and hemoptysis. Echocardiography, confirmed by angiocardiography delineated the right ventricular cyst. The operation was performed under extra corporal circulation (ECC), moderate hypothermia with cold cardioplegia. The echinococcal cyst was removed after local instillation of 0.5% silver nitrate solution. The postoperative course was uneventful.

摘要

我们报告一例罕见的右心包虫病病例。我们的年轻患者已知患有肺包虫病,出现心前区胸痛、进行性呼吸困难、咳嗽和咯血。超声心动图经心血管造影证实,显示出右心室囊肿。手术在体外循环(ECC)、中度低温并使用冷停搏液的条件下进行。在局部滴注0.5%硝酸银溶液后,摘除棘球蚴囊肿。术后过程顺利。

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