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目的总结10例婴幼儿缩窄性心包炎(Constrictive Pericarditis)手术治疗的经验,探讨外科治疗上的策略。方法 2001年1月至2009年10月有10例婴幼儿缩窄性心包炎行心包剥脱术,7例剥脱满意,3例因粘连严重以“井”字法剥脱切开。结果 1例为院外死亡,术后出现肝功能不全2例,肺部感染1例,经积极治疗后9例治愈出院。随访6月～7年,其中1例出现乏力、肝脏肿大,9例恢复良好。结论婴幼儿缩窄性心包炎在临床工作中较为少见,10例均为先天性心脏病合并缩窄性心包炎,采用合理的心包剥脱方法及围术期处理,可得到满意的治疗结果。
Objective To summarize the experience of 10 cases of infantile constrictive pericarditis and discuss the surgical treatment strategies. Methods From January 2001 to October 2009, 10 cases of infantile constrictive pericarditis were treated by pericardial dissection, 7 cases were exfoliated satisfactorily, and 3 cases were severed by “” well "s lettering due to severe adhesion. Results One patient died outside the hospital. Two patients had hepatic insufficiency and one patient had pulmonary infection after operation. Nine patients were cured after active treatment. Follow-up from 6 months to 7 years, 1 case of fatigue, liver enlargement, 9 cases recovered well. Conclusions Infantile constrictive pericarditis is rare in clinical practice. All 10 cases are congenital heart disease complicated with constrictive pericarditis. Satisfactory results can be obtained by rational pericardial dissection and perioperative management.