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題名 | Chronic Postpericardiotomy Syndrome and Cardiac Tamponade Lasting for Two Years after Open Heart Surgery=開心手術後持續兩年之慢性心包膜切開後徵候群併心包填塞 |
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作者 | 簡迺娟; 諶大中; | 書刊名 | Acta Cardiologica Sinica |
卷期 | 22:3 民95.09 |
頁次 | 頁170-174 |
分類號 | 416.262 |
關鍵詞 | 心包填塞; 開心手術; 心包切除術; 心包切開後徵候群; 胸腔鏡手術; Cardiac tamponade; Open heart surgery; Pericardiectomy; Postpericardiotomy syndrome; Thoracoscopic surgery; |
語文 | 英文(English) |
中文摘要 | 心包切開後徵候群是心臟手術後一個麻煩的併發症,有時會導致繞道血管阻塞或心包填塞。治療方式包括非類固醇消炎藥、類固醇、利尿劑、引流及心包膜切除等。通常此徵候群僅持續數週,很少超過六個月。我們在此報告一個64歲男性病患,其心包切開後徵候群及心包填塞在心臟手術後持續二年。我們以胸腔鏡心包膜切除、類固醇及秋水仙素成功治癒該病患。 |
英文摘要 | Postpericardiotomy syndrome (PPS) is a major cause of morbidity after cardiac surgery and may cause bypass graft closure and fatal cardiac tamponade. Treatment modalities include nonsteroidal antiinflammatory drugs, corticosteroids, diuresis, drainage, and pericardiectomy in severe cases. Usually the syndrome lasts weeks only, and persistence beyond six months is exceptional. We describe a 64-year-old male patient of chronic PPS, with persistent pericardial effusions and tamponade lasting for two years after an initial open heart surgery. The patient was treated successfully with thoracoscopic partial pericardiectomy and low-dose maintenance steroids and colchicine for two months. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。