- 期刊
Surgical Treatment of Pericardial Effusion in Cancer Patinets
癌症病人心包膜積水之外科治療
摘要
31個癌症病人因大量心胞膜積水接受劍突下心包膜切開術及肋膜心包膜開窗術。沒有病人死於手術。所有的病人因積水所造成的心臟壓迫皆獲得快速及完全解除，有十個病人在術後三十天內因末期癌症而死亡，這些病人都沒有心包膜積水復發的現象。在追蹤治療期間，另外有17個病人死於末期癌症，而這些死亡皆和心胞膜積水無關。我們認為對於癌症病人的大量心胞膜積水，經由劍突下的肋膜心包膜開窗術是一個可供選擇的治療方法。
關鍵字
無資料並列摘要
31 cancer patients with symptomatic pericardial effusion were treated by subxiphoid pericardiotomy with simultaneous pleuropericardial window creation. There were no patients who died during surgery. In all patients, relief of cardiac compression by the effusion was immediate and complete. 10 patients died of advanced malignancy within 30 days after operation without evidence of recurrent pericardial effusion. During the period of follow-up, another seventeen patients died, and no death was related to pericardial effusion. It is concluded that pleuropericardial widow though the subxiphoid approach is the treatment of chice for pericardial effusion in cancer patients. the procedure provides immediate and long-lasting relief of cardiac compression with acceptable motality and morbidity.
延伸閱讀
- 劉耀中、高志平、劉嘉仁、蕭樑材、劉俊煌（2017）。成人病患經異體造血幹細胞移植後產生心包膜積液之風險及處理。臨床醫學月刊，80(1)，403-408。https://doi.org/10.6666/ClinMed.2017.80.1.076
- Chiu, J. T., Hsu, J. Y., & Chen, K. C. (2014). 類肉瘤同時合併心包膜及肋膜積水－病歷報告. 胸腔醫學, 29(2), 77-84. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201304-201404070020-201404070020-77-84
- 邱楠達、陳如意、林素琴、黃偉春、薛光傑、釋傳琇（2010）。惡性心包膜積液。安寧療護雜誌，15(1)，106-116。https://doi.org/10.6537/TJHPC.2010.15(1).8
- Chen, H. C., Lin, S. C., & Hsiao, Y. C. (2011). 心包膜積氣：在內科加護病房少見但卻極為致命的併發症. 中華民國急救加護醫學會雜誌, 22(3), 145-146. https://doi.org/10.30018/JECCM.201109.0010
- Wang, M. C., Huang, B. H., & Kok, V. C. (2017). 食道癌放化療中併發食道心包膜瘻管合併化膿性心包膜炎及心包填塞：病例報告. 放射治療與腫瘤學, 24(1), 67-75. https://doi.org/10.6316/TRO/201724(1)67