查詢結果分析
相關文獻
- Comparison between Subxiphoid Approach and Left Thoracotomy in Surgical Treatment of Malignant Pericardial Effusion--The Experience of Taipei Veterans General Hospital
- Cardiac Tamponade as the First Manifestation of Gastric Adenocarcinoma--A Case Report and Review of Literature
- 血栓溶解劑導致出血性心包膜填塞--急性心肌梗塞之罕見合併症一病例報告及文獻回顧
- Cardiac Tamponade after Pacemaker Implantation
- 惡性心包膜積液
- Primary Pericardial Mesothelioma with Cardiac Tamponade and Distant Metastasis: Case Report
- Tuberculous Pericardial Effusion with Intrapericardial Echogenic Masses-- A Case Report
- Sudden Death Shortly after Successful Pericardiocentesis in Cardiac Tamponade Complicating in Aortic Dissection--A Case Report
- 飛行中駕駛員猝死案例報告--主動脈剝離破裂
- Video-Assisted Thoracoscopic Management of Malignant Peri-Cardial Effusion: A Case Report
頁籤選單縮合
題 名 | Comparison between Subxiphoid Approach and Left Thoracotomy in Surgical Treatment of Malignant Pericardial Effusion--The Experience of Taipei Veterans General Hospital=比較劍突下及開胸引流術對惡性心包膜積液之外科處理--臺北榮民總醫院之經驗 |
---|---|
作 者 | 許喬博; 游堂振; 賴曉亭; 翁仁崇; 黃正雄; 施俊哲; 王志軒; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 15:2 1999.04[民88.04] |
頁 次 | 頁73-80 |
分類號 | 416.262 |
關鍵詞 | 心包膜填塞; 心包膜積液; 劍突下引流術開胸引流術; 心包膜穿刺術; Pericardial tamponade; Pericardial effusion; Subxiphoid pericardial drainage; Thoracotomy drainage; Pericardiocentesis; |
語 文 | 英文(English) |
中文摘要 | 背景:臨床上對於pericardial tamponade或severe pericardial effusion的外科處理有兩種方式,一為subxiphoid pericardial drainage,另一則為左前方thoracotomy drainage,本文乃針對該兩種處理方式作一比較。 方法:追溯分析1993年1月至1998年5月間,22名(男性16名,女性6名;年齡分佈28歲至81歲)因惡性心包膜積液在台北榮民總醫院接受手術治療之患者。其中12名患者接受subxiphoidpericardial drainage,9名患者接受左前方thoracotomy drainage。另有1名患者在接受左前方thoracotomy drainage之後,由於復發之故,遂再進行subxiphoid pericardial drainage。 結果:7名患者在手術前症狀已藉pericardiocentesis得到暫時緩解,4名患者在手術後一個月內逝於根本疾病,無因手術造成死亡或併發症,平均30日死亡率為4/22。有16名患者可追蹤到移除引流管至少二週以後之心臟超音波。接受subxiphoid pericardial drainage之患者累積無積液之比率達百分之百(10/10),而接受左前方thoracotomy drainage之患者只達百分之五十之累積無積液比率(3/6)(p=0.063)。 結論:和開胸引流術比較,劍突下引流術為一種較有效且低復發率之惡性心包膜積液之外科手術方式。 |
英文摘要 | Background: There are several methods to release pericardial tamponade or pericardial effusion. In this study, we evaluated two different surgical approaches: subxiphoid pericardial drainage and left anterior thoracotomy. Methods: From 1/1993 to 5/1998, 22 patients (16 male and 6 female, aged 28-81 years) with malignant pericardial effusion with or without cardiac tamponade were treated with surgical intervention. Among them, 12 patients were treated with the subxiphoid approach and 9 patients with the thoracotomy approach. Another one patient received thoracotomy followed by subxiphoid approach because of recurrent pericardial effusion. Result: The underlying etiology of malignancy for pericardial effusion was similar between the two groups. Symptoms were partially relieved by pericardiocentesis before operation in 7 patients. Though there were no deaths or major complications attributable to surgery itself, 4 patients died of underlying diseases within one month after operation. The overall 30-day mortality was 4/22. To evaluate the effect of surgery, 16 patients were followed up with echocardiography at least 2 weeks after removal of drainage tube. The cumulative effusion-free rate was 100% (10/10) in patients with the subxiphoid approach and 50% (3/6) in patients with the thoracotomy approach (p=0.063) . Conclusion: Compared with left anterior thoracotomy, subxiphoid pericardial drainage seems a more efficient treatment, with low morbidity, for malignant pericardial effusion. |
本系統中英文摘要資訊取自各篇刊載內容。