Miller J I, Mansour K A, Hatcher C R
Ann Thorac Surg. 1982 Jul;34(1):40-5. doi: 10.1016/s0003-4975(10)60850-8.
During a 7 1/2-year period, 102 patients underwent pericardiectomy in the Emory University Affiliated Hospitals for a wide variety of pericardial disease. Seventy-six patients had predominantly effusive pericardial disease, and 26 patients had constrictive pericarditis. Nineteen cases of constrictive pericarditis developed in patients who had undergone previous open-heart operations. Hospital mortality at six weeks was 8.8%. The surgical approach was a left anterior thoracotomy in 72 patients; median sternotomy in 26 patients; and a subxiphoid approach in 4 patients. Only 2 patients required cardiopulmonary bypass. A detailed discussion of each subgroup of patients with pericardial disease requiring pericardiectomy is given.
在7年半的时间里，102例患者因各种心包疾病在埃默里大学附属医院接受了心包切除术。76例患者主要患有渗出性心包疾病，26例患者患有缩窄性心包炎。19例缩窄性心包炎患者曾接受过心脏直视手术。六周时的医院死亡率为8.8%。手术方式为72例患者采用左前开胸术；26例患者采用正中胸骨切开术；4例患者采用剑突下途径。仅2例患者需要体外循环。本文对需要心包切除术的心包疾病各亚组患者进行了详细讨论。
