Adachi T, Itaoka T, Kei J, Tahara S, Kaguraoka H, Yokoyama M, Nitta S
Department of Surgery I, Tokyo Women's Medical College, Japan.
Nihon Geka Gakkai Zasshi. 1993 Jun;94(6):621-4.
Patients with pectus excavatum occasionally have coexisting surgical heart disease. During a 10-year period up to the end of 1988, we surgically treated a total of 2015 cases of pectus excavatum, including 12 cases with one staged operation for pectus excavatum and heart disease. Proving the advantage of our one staged operation for the coexisting diseases we studied data resulting from the perioperative management in the group of one staged operations (n = 5), and in the other group of single valve replacement (n = 10). Operative time, amount of operative blood loss and total amount of transfused blood, were 433 +/- 66 min. (mean +/- SD), 3180 +/- 1867 ml and 4836 +/- 2247 ml, in the former group (n = 5), respectively. These data were almost similar to those in the latter group (n = 10). Postoperative ventilatory support time and ICU stay time also showed little difference between two groups. We conclude these data supports our previous report that one staged operation has no perioperative disadvantage in the surgical treatment of patients with both cardiac disease and pectus excavatum.
漏斗胸患者偶尔会并存外科心脏疾病。截至1988年底的10年间，我们共对外科治疗的2015例漏斗胸患者进行了手术，其中12例同时接受了漏斗胸和心脏病一期手术。为证明我们对并存疾病进行一期手术的优势，我们研究了一期手术组（n = 5）和另一组单瓣膜置换组（n = 10）围手术期管理的数据。前一组（n = 5）的手术时间、术中失血量和输血量分别为433 +/- 66分钟（平均值 +/- 标准差）、3180 +/- 1867毫升和4836 +/- 2247毫升。这些数据与后一组（n = 10）的数据几乎相似。两组术后通气支持时间和重症监护病房停留时间也几乎没有差异。我们得出结论，这些数据支持我们之前的报告，即一期手术在患有心脏病和漏斗胸的患者的外科治疗中没有围手术期劣势。
