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心包引流术在尿毒症心包积液治疗中的应用

Pericardial drainage operations in the management of uremic pericardial effusion.

作者信息

Fox H E, Yee J M, Weaver J C, Dugan D J, Samson P C

出版信息

J Thorac Cardiovasc Surg. 1977 Apr;73(4):504-10.

PMID:839841
Abstract

Because of frequent failures in nonoperative therapy, we have adopted early surgical drainage of the pericardium in the management of uremic pericardial effusion. This series presents the longest follow-up period of any group of patients with uremic pericardial effusion treated by surgical drainage. There have been no intraoperative deaths and no recurrences. The total hospital mortality rate was 8.3 per cent and the late mortality rate over a 72 month period was 25 per cent. Internal pericardiostomy drainage is a simple yet effective surgical solution to the life-threatening problem of uremic pericardial effusion.

摘要

由于非手术治疗频繁失败,我们在尿毒症心包积液的治疗中采用了早期心包手术引流。本系列呈现了接受手术引流治疗的尿毒症心包积液患者组最长的随访期。术中无死亡病例,也无复发情况。医院总死亡率为8.3%,72个月期间的晚期死亡率为25%。心包内造口引流是解决尿毒症心包积液这一危及生命问题的一种简单而有效的手术方法。

相似文献

1
Pericardial drainage operations in the management of uremic pericardial effusion.心包引流术在尿毒症心包积液治疗中的应用
J Thorac Cardiovasc Surg. 1977 Apr;73(4):504-10.
2
Conservative management of uremic pericardial effusions.尿毒症心包积液的保守治疗
J Thorac Cardiovasc Surg. 1978 Nov;76(5):629-32.
3
[Surgical therapy of uremic pericarditis (author's transl)].
Acta Chir Belg. 1981 Sep-Oct;80(5):293-8.
4
Subxiphoid pericardiostomy for hemodialysis-associated pericardial effusion.剑突下心包造口术治疗血液透析相关心包积液
Arch Intern Med. 1986 Jun;146(6):1113-5.
5
Pericardiectomy for treatment of uremic pericarditis.心包切除术治疗尿毒症性心包炎。
Circulation. 1974 Aug;50(2 Suppl):II268-71.
6
Treatment of uremic pericarditis.尿毒症心包炎的治疗。
Clin Nephrol. 1974;2(4):127-30.
7
[Fenestration of the pericardium in uremic pericardial effusion].[尿毒症性心包积液的心包开窗术]
Orv Hetil. 1983 Oct 16;124(42):2545-7.
8
The indications for pericardiectomy in the uremic pericardial effusion.
Surgery. 1976 Dec;80(6):689-94.
9
Primary percutaneous balloon pericardiotomy for malignant pericardial effusion.原发性经皮球囊心包切开术治疗恶性心包积液
Catheter Cardiovasc Interv. 2008 Mar 1;71(4):504-7. doi: 10.1002/ccd.21431.
10
Treatment of intractable uremic pericardial effusion. Avoidance of pericardiectomy with local steroid instillation.难治性尿毒症心包积液的治疗。避免心包切除术并局部注入类固醇。
JAMA. 1978 Sep 22;240(13):1358-9.

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1
A new method for continuous pericardiocentesis--percutaneous pericardial drainage via a sheath-introducer.
Jpn J Surg. 1988 Mar;18(2):224-7. doi: 10.1007/BF02471435.