国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2015年
3期
267-270
,共4页
心包剥脱术%放疗后缩窄性心包炎%体外循环%低心排血量综合征
心包剝脫術%放療後縮窄性心包炎%體外循環%低心排血量綜閤徵
심포박탈술%방료후축착성심포염%체외순배%저심배혈량종합정
Pericardiectomy%Post-radiation constrictive pericarditis%Cardiopulmonary bypass%Low cardiac-output syndrome
背景 心包剥脱术被证实是治疗慢性缩窄性心包炎的有效方法,但若干围术期危险因素影响术后患者短期及长期病死率. 目的 识别围术期危险因素有利于合理评估围术期风险,改善管理策略. 内容 从心包炎病因、心包钙化、心脏疾病相关因素、内环境因素、伴随疾病、手术相关因素等方面,分析导致患者术后短期及长期不良转归的危险因素. 趋向 由于当前的研究着眼于术前因素,将来关注术中及术后因素的研究可加深对该手术围术期危险因素的认识,进一步改善管理策略.
揹景 心包剝脫術被證實是治療慢性縮窄性心包炎的有效方法,但若榦圍術期危險因素影響術後患者短期及長期病死率. 目的 識彆圍術期危險因素有利于閤理評估圍術期風險,改善管理策略. 內容 從心包炎病因、心包鈣化、心髒疾病相關因素、內環境因素、伴隨疾病、手術相關因素等方麵,分析導緻患者術後短期及長期不良轉歸的危險因素. 趨嚮 由于噹前的研究著眼于術前因素,將來關註術中及術後因素的研究可加深對該手術圍術期危險因素的認識,進一步改善管理策略.
배경 심포박탈술피증실시치료만성축착성심포염적유효방법,단약간위술기위험인소영향술후환자단기급장기병사솔. 목적 식별위술기위험인소유리우합리평고위술기풍험,개선관리책략. 내용 종심포염병인、심포개화、심장질병상관인소、내배경인소、반수질병、수술상관인소등방면,분석도치환자술후단기급장기불량전귀적위험인소. 추향 유우당전적연구착안우술전인소,장래관주술중급술후인소적연구가가심대해수술위술기위험인소적인식,진일보개선관리책략.
Background Pericardiectomy has been demonstrated to be an effective treatment of chronic constrictive pericarditis,but certain perioperative risk factors affect its postoperative short-term and long-term mortality.Objective Identification of perioperative risk factors benefits reasonable evaluation of perioperative risk and amelioration of management strategies.Content Based on etiology,pericardial calcification,cardiac-disease-related factors,internal environmental factors,comorbidities,surgery-related factors and other categories,this review analyzes the risk factors contributing to poor short-term and long-term outcome.Trend Since present studies focus on preoperative factors,further studies concerning intra-operative and postoperative ones could deepen the knowledge of perioperative risk factors of pericardiectomy and revamp its management strateties.
