[心脏直视手术后迟发性心脏压塞]
[Late cardiac tamponade after open heart surgery].
作者信息
Terada Y, Saitoh T, Shimoyama Y, Takayama T, Suma H, Wanibuchi Y, Ino T
机构信息
Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
出版信息
Kyobu Geka. 1994 Feb;47(2):128-31.
PMID:8301902
Abstract
59 cases of late cardiac tamponade following open heart surgery were studied. The incidence was 2.1%. Postoperative prolonged heart failure, anticoagulants, and blood in the pericardium left undrained may play a role in its pathogenesis. Echocardiography was the sure method of diagnosis. Insertion of a drainage tube into the pericardium through the subxiphoid approach was effective with minimal invasion and a treatment of choice.
摘要
对59例心脏直视手术后发生迟发性心脏压塞的病例进行了研究。发病率为2.1%。术后长期心力衰竭、抗凝剂的使用以及心包内未引流的积血可能在其发病机制中起作用。超声心动图是确诊的可靠方法。经剑突下途径在心包内插入引流管效果良好，创伤极小，是首选的治疗方法。
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