食道切除术后的胆心脏:一个病例报告和系统审查
Xinglin Yang1, Jinghong Zhang2, Pengxia Sun3
1Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
Journal of cardiothoracic surgery
|February 3, 2024
概括
胃肠切除术后的罕见并发症 - - 胃肠切除术 (chylopericardium) - - 可能导致心脏坦波纳德. 胸管绑定是这种严重疾病的有效治疗方法,这是最近的一项案例研究表明的.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 胃肠病学 胃肠病学
背景情况:
- 胸腔心脏 (chylopericardium) 是心脏周围空间中罕见的积,通常是由于胸管损伤造成的.
- 消化管切除术后的胆心异常罕见,可能导致危及生命的心脏栓塞和心脏骤停.
- 本报告详细介绍了一例食道切除术后的胆心脏病例,包括心脏骤停和成功管理.
研究的目的:
- 为了呈现一种罕见的胆心脏病例和食道切除术后的心脏吸管.
- 在食道切除术后审查关于胆心脏的文献.
- 为了突出诊断和管理策略对这种并发症.
主要方法:
- 介绍了一例41岁的男性,因为食道癌症而接受胸腔镜-腹腔镜食道切除术.
- 患者在术后的第一天经历了由于心脏吸管而导致的心脏骤停,需要紧急排水.
- 一项系统的文献审查发现了4例报告的病例,其中3例经历了心周栓塞.
主要成果:
- 患者在肠道养后出现了胆心脏病,导致心脏塞和心脏骤停.
- 进行了紧急心周排水,随后由于显著的排水,进行了胸腔管绑定.
- 胸管绑定大大减少心周排水,患者在2年7个月的时间里康复得很好.
结论:
- 胆心脏是食道切除术后的一种罕见但严重的并发症.
- 通过心声学和心周液分析进行早期诊断至关重要.
- 胸管绑定是食道切除术后心脏病的有效治疗方法.
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