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首页> 外文期刊>Journal of International Medical Research >Does posterior pericardial window technique prevent pericardial tamponade after cardiac surgery?
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Does posterior pericardial window technique prevent pericardial tamponade after cardiac surgery?

机译：后心包窗技术是否可以预防心脏手术后的心包填塞？

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Objective To investigate the efficacy of the intraoperative posterior pericardial window technique in preventing pericardial tamponade following open heart surgery. Patients and methods Adult patients undergoing coronary and/or valve surgery were randomly divided into a control (traditional) or a pericardial window (PW) technique group. Pre-, intra-, peri- and postoperative clinical data were collected prospectively, including incidence of pericardial tamponade, cardiac arrest, drainage volume, ventilation assistance time and moderate-to-large pericardial effusion. Results In total, 458 patients were included: 230 controls and 228 in the PW group. The incidence of pericardial tamponade in the PW group was significantly lower than in controls. Cardiac arrest occurred in one patient (0.4%) in the PW group and five (2.2%) controls; this difference was not statistically significant. Moderate-to-large pericardial effusion after drainage extubation and new-onset atrial fibrillation were significantly more common in controls than in the PW group. After stratification by age (≤70 versus >70?years), there was no between-group difference in duration of endotracheal intubation, although in the PW group, after removal of the tracheal cannula, duration of noninvasive positive pressure ventilation was significantly longer in older patients. Conclusions The pericardial window procedure did not increase the rate or severity of procedure-related complications. This simple technique significantly decreased the incidence of postoperative pericardial tamponade and new-onset atrial fibrillation.
机译：目的探讨术中后心包窗技术在心内直视术后预防心包填塞的疗效。患者和方法将接受冠状动脉和/或瓣膜手术的成年患者随机分为对照组（传统）或心包窗口（PW）技术组。收集术前，术中，围术期和术后的临床数据，包括心包填塞的发生率，心脏骤停，引流量，通气辅助时间和中到大心包积液。结果总共包括458名患者：230名对照组和PW组的228名。 PW组心包填塞的发生率显着低于对照组。 PW组有1名患者（0.4％）和5名（2.2％）对照者发生心脏骤停。这种差异没有统计学意义。与PW组相比，引流拔管和新发房颤后中至大的心包积液在对照组中更为常见。在按年龄分层后（≤70比> 70？年），气管插管的持续时间没有组间差异，尽管在PW组中，气管插管摘除后，无创正压通气的持续时间明显更长。老年患者。结论心包窗手术并没有增加手术相关并发症的发生率或严重程度。这项简单的技术显着降低了术后心包压塞和新发房颤的发生率。

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