Nguyen D H, Nguyen K D, Le H H
Zentralbl Chir. 1981;106(5):299-302.
15 cases of pericarditis with tamponade operated as emergency cases in Cho Ray Hospital from November 1976 to January 1979 are dealt with. In these 15 cases, 11 were urgently treated with pericardiectomy, 3 cases with pericardiotomy and one case with repeated pericardial punctures. From these latters pericardiectomy had to be performed in one case later because of constrictive pericarditis and evolutive cardiac failure.
Pericardial and metastatic tumour 5, suppurative pericarditis 7, Haemopericard after closed chest trauma 1, rheumatic fever 1, tuberculosis 1.
11 patients showed good results, 3 patients died of disseminated lesions of cancer, 1 patient with suppurative pericarditis died a few days after the operation of respiratory insufficiency. A conservative operation seems to be impossible for radically curing the disease and many post-operative complications may occur.
本文探讨了1976年11月至1979年1月在乔雷医院作为急诊病例进行手术的15例心包炎伴心包填塞患者。在这15例患者中，11例接受了紧急心包切除术治疗，3例接受了心包切开术，1例接受了反复心包穿刺术。在这些患者中，有1例因缩窄性心包炎和进行性心力衰竭，后来不得不进行心包切除术。
心包和转移性肿瘤5例，化脓性心包炎7例，闭合性胸部创伤后血心包1例，风湿热1例，结核病1例。
11例患者效果良好，3例患者死于癌症播散性病变，1例化脓性心包炎患者术后数天死于呼吸功能不全。保守手术似乎无法从根本上治愈该病，且可能会出现许多术后并发症。
