心包开窗术预防术后明显的心包积液

K. S. Kiryakov, A. R. Zakiryanov, T. A. Khalilulin, N. Y. Zakharevich, O. A. Pozdnyakov, А. M. Goltz, D. S. Ivanov, A. A. Sukhachev, V. M. Zakharevich
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引用次数: 0

摘要

术后心包积液是心脏手术中一种非常常见的并发症。大量游离液体在心包腔内积聚是一个多因素的过程。找出原因并不总是可能的。这种并发症在心脏移植患者中比在心脏重建手术患者中更常见。有明显的血流动力学积液需要手术从心包腔中抽出液体。这会影响术后时间,增加住院时间。因此,制定和确保广泛使用预防这种并发症的方法是紧迫和相关的任务。
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Pericardial window as a surgical method for preventing significant postoperative pericardial effusion
Postoperative pericardial effusion (PPE) represents a very common complication in cardiac surgery. Accumulation of a significant amount of free fluid in the pericardial cavity is a multifactorial process. Identifying the cause is not always possible. This complication occurs more frequently in patients after heart transplantation than in patients who underwent reconstructive cardiac surgery. Having hemodynamically significant effusion requires surgical evacuation of fluid from the pericardial cavity. This can affect the postoperative period and increase the length of stay at the hospital. For this reason, developing and ensuring widespread use of methods for prevention of this complication are urgent and relevant tasks.
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