儿科心膜切除术-一个叙述性回顾
Noy Meshulami1, Shubhi Kaushik2, Raghav Murthy3
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of thoracic disease
|March 12, 2026
概括
儿科心膜切除术是一种罕见但通常安全的治疗心膜炎的程序. 早期干预至关重要,特别是在资源较低的环境中,以改善患者的治疗结果并避免不可逆转的心脏损伤.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
背景情况:
- 儿科心膜切除术是不常见的外科手术程序.
- 它们适用于儿童的复发性,性或收缩性心膜炎.
- 目前缺乏专门针对儿科的指导方针.
研究的目的:
- 审查有关儿科心膜切除术的现有文献.
- 总结病因学,诊断,手术时间,方法和结果.
- 在没有儿科指导方针的情况下,为临床决策提供信息.
主要方法:
- 进行了一次系统的PubMed文献审查.
- 包括2000年至2025年以英语出版的文章.
- 搜索术语包括"儿科"和"心脏切除术";从92篇文章中确定了58篇相关出版物.
主要成果:
- 异常性心膜炎是最常见的原因;细菌感染和先前的心脏手术也是重要的病因.
- 大多数儿科患者出现呼吸障碍,胸痛或心力衰竭.
- 胸前回声心电图 (TTE) 是主要的诊断成像工具.
- 心切除术是收缩性心周炎的标准治疗方法,延迟手术可能会导致不可逆转的心肌损伤.
- 大约90%的手术是没有心肺绕道进行的,通常是通过中间椎切割.
- 死亡率在资源较低的国家 (~11%) 与美国 (~2%) 相比较高,可能是由于延迟呈现或疾病病因.
结论:
- 儿科心膜切除术很少见,但通常是安全的,特别是在美国.
- 成人指南可以为儿科患者的治疗决定提供信息.
- 需要进一步的研究来澄清与儿科心膜切除术时间相关的结果.
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