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心包切除术

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Results There were 28 of 30 patients (93.3%) who underwent pneumonectomy and pericardiotomy or pericardium injury with ST segments shifted up horizontally or hollowly.

结果 30例肺切除同时行心包部分切除或有心包外损伤的患者中,28例(93.3%)术后ST段较术前呈水平或上凹形抬高。

Methods The clinical data of21cases of acute suppurative pericarditis at early stage treated with pericardiectomy were retrospectively analyzed.

回顾性分析21例急性化脓性心包炎早期施行心包切除术治疗的临床资料。

Pleurectomy, partial pericardiectomy, partial rib resection, lymph node resection and phrenectomy were simultaneously performed in 42 cases. Systemic chemotherapy was administered in five patients before operation.

同时行胸膜剥除、心包部分切除、部分上腔静脉切除再吻合、部分肋骨切除、纵隔淋巴结及锁骨上淋巴结清除或隔肌部分切除42例,有5例术前行化疗1个疗程。

Methods To review and analyze the clinical data of 42 cases of the intrapericardial total pneumonectomy.

回顾性分析42例经心包内全肺切除术患者的临床资料。

Results 6 cases giant substernal goiter were treated by collar-thyroid-incision and partial upper median sternotomy.3 cases with superior vena cava syndrom were treated with tumor resection and artificial vessel replacement or auto pericardium suture.2 cases were second time surgery for entire resection of the...

结果取颈部低位领状切口切除巨大胸骨后甲状腺肿6例;3例合并上腔静脉综合征患者分别行纵隔肿瘤切除、人工血管置换或自体心包修补术;再次手术完整切除纵隔肿瘤2例;手术治疗因肿瘤反复破溃引起纵隔感染、冻结2例。

Objective To explore the surgical procedure,postoperative respiration,blood gas analysis and heart function changes relevant to intrapericardial total pneumonectomy.

目的 探讨经心包内处理肺血管全肺切除术的手术操作、术后呼吸、血气及心功能的变化。

Objective To explore the surgical procedure,postoperative respiration,blood gas analysis and heart function changes relevant to intrapericardial total pneumonectomy.Methods To review and analyze the clinical data of 42 cases of the intrapericardial total pneumonectomy.

目的 探讨经心包内处理肺血管全肺切除术的手术操作、术后呼吸、血气及心功能的变化方法回顾性分析42例经心包内全肺切除术患者的临床资料。

Intrapericardial total pneumonectomy is safe,it can raise the pulmonary resection rate and prolong the survival period of the patients.

经心包内处理肺血管全肺切除术安全性较好,可提高肺癌切除率、延长术后生存期。

Objective To discuss the indication and op erating technique of intrapericardial pneumonectomy,the repair of pericardial d efect,prevention of cardiac herniation and the postoperative arrhythmia.

目的 探讨心包内全肺切除术的适应证,手术技术,心包缺损修补和心脏疝预防,术后心律失常的处理等问题。

Intrapericardial pneumonectomy was decided in operation;to repair pericardial defect in operation can prevent cardiac herniation;continue EKG was necessary wi thin one week after operation.

结论术 中探查才能决定是否行心包内全肺切除术;术中妥善修补心包可预防心脏疝;术后1周内心电监护是必要的。

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