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[心包切开术后综合征发生概率的术前评估]

[Preoperative evaluation of the probability of postpericardiotomy syndrome occurrence].

作者信息

Konopka A

机构信息

Oddziału Intensywnej Opieki Kardiologicznej Instytutu Kardiologii.

出版信息

Pol Tyg Lek. 1994;49(25-26):560-3.

PMID:7659609
Abstract

36 women (43%) and 40 men (53%) (total 76) before cardiac surgery underwent the study. The average age was 50 +/- 12,62. The postpericardiotomy syndrome (PPS) was observed in 44 patients (58%). Statistically significant higher mean level CD8 lymphocytes was preoperatively stated in non-PPS patients in comparison with PPS ones (12 PPS pts-38% v.s. 4 non-PPS-9%; p < 0.01). The ratio CD4 to CD8 exceed 1.6 in group of 25 patients (57%) with PPS and only in 9 patients (28%) without PPS (p < 0.05). CD4/CD8 ratio > 1.6 and increased level of lymphocytes with transferrin receptors was more often observed in PPS patients (18 pts; 41%) in comparison with non-PPS ones (3 pts; 9%). The existence of preoperative antimyocardial antibodies did not effect on the higher risk of PPS.

摘要

76名心脏手术前的患者参与了该研究,其中36名女性(43%),40名男性(53%)。平均年龄为50±12.62岁。44名患者(58%)出现了心包切开术后综合征(PPS)。与PPS患者相比,非PPS患者术前CD8淋巴细胞平均水平在统计学上显著更高(12名PPS患者-38%对4名非PPS患者-9%;p<0.01)。25名PPS患者(57%)组中CD4与CD8的比值超过1.6,而无PPS的患者中只有9名(28%)(p<0.05)。与非PPS患者(3名;9%)相比,PPS患者(18名;41%)中更常观察到CD4/CD8比值>1.6和转铁蛋白受体淋巴细胞水平升高。术前抗心肌抗体的存在对PPS的高风险没有影响。

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